舞蹈训练对慢性精神分裂症患者自尊及社会功能改善的效果评价

Positive effects of dancing train on self-esteem and social function in chronic schizophrenia patients

目的 探讨舞蹈训练对慢性精神分裂症患者自尊及社会功能的改善作用.方法 在进行舞蹈训练的患者中,方便抽样选择符合入组标准的患者80例作为干预组,以性别、年龄、文化程度、诊断、住院时间、药物剂量等因素为条件,配对选择未开展舞蹈训练的80例患者作为对照组.在训练前及训练8周后分别采用自尊量表（SES）、住院精神疾病患者社会功能评定量表（SSPI）对患者进行效果评定.结果 干预组与对照组比较,舞蹈训练前SES及SSPI量表得分差异无统计学意义,舞蹈训练后干预组各项得分明显优于对照组,差异有统计学意义.自身前后比较,干预组各量表得分差异有统计学意义,对照组各量表得分差异无统计学意义.干预组男女患者间比较,训练前各量表得分差异无统计学意义;训练8周后女患者自尊量表得分优于男患者,SSPI总分及日常生活能力、动性和交往情况2个因子得分优于男患者,差异有统计学意义.舞蹈训练8周自身前后比较,男女患者SES、SSPI总分及3个因子得分差异均具有统计学意义.结论 舞蹈训练可改善精神分裂症患者的残留症状,不同程度提高男女患者的社会功能及自尊水平.

Objective To explore the positive effects of dancing train to self-esteem and social function in chronic schizophrenia patients.Methods By random sampling,40 male and 40 female chronic schizophrenic inpatients with dancing train were enrolled as the research group in our study training.According to gender,age,education,diagnosis,hospital stays and other factors,80 inpatients without dancing train were enrolled as the control group by paired choice.Both groups were evaluated with Self-esteem Scales （SES） and Scales of Social Practice of Inpatients （SSPI） at pre-and post-training.Results Comparison between the research group and control group showed that it had no significant difference between every value of scales in male and female before training; after training the research group＇s every indicants was better than that of the control group,and there were significant differences.Compared between pre-and post-training,the research group had significant differences but the control group did not.Before training,no significant differences between male and female of the research group.Compared with male inpatients,females achieved significantly better scores in SES,SSPI and 2 items of daily living and positive social communication after dancing train for 8 weeks.There were significant differences between male and female inpatients in SES,SSPI and 3 items of SSPI at pre-and post-train.Conclusions Dancing train can be effective to the residue symptoms in schizophrenic patients and improve social function and self-esteem of male and female inpatients.