特定认知行为技术对急性期精神分裂症的干预效果

The Efficacy of Special Cognitive- Behavior Approaches on Schizophrenia During Acute-phase

目的:探讨特定认知行为技术在急性期精神分裂症护理中的应用效果,提高急性期精神分裂症的护理水平。方法:采用随机数字表法,把符合入组标准的病人随机分配到研究组和对照组(各50例)。在药物治疗的基础上,研究组接受12次特定认知行为技术干预,对照组接受12次一般心理护理。采用阳性和阴性症状量表(PANSS)分别于入组时、治疗4周末和8周末对两组进行评定,并于第8周末评定两组的服药依从性。结果:研究组在治疗8周末的PANSS总分、阳性症状和一般病理评分均低于对照组,且服药依从性好于对照组,差异均有统计学意义(P<0.05或P<0.01)。结论:在急性期精神分裂症护理工作中应用特定认知行为技术,能明显改善阳性症状,提高服药依从性,提高了急性期精神分裂症的护理效果,值得在临床护理中推广。

Objective：To explore the efficacy of special cognitive-behavior approaches in clinical nurs-ing for the patients schizophrenia during acute-phase .Method： In random number table methods , 100 pa-tients with schizophrenia during acute-phase were randomly assigned to study group （n =50）,and control group（ n =50） ,The patients of study group accepted 12 sessions of nursing with special cognitive-behavior approaches ,at the same time , control group accepted 12 support psychology nursing respectively based on the same drug therapy .PANSS were used to assess the efficacy and difference of scores at baseline .Drug compli-ance of both groups were assessed at the end of 8th weeks.Result： In study group,the total score and two factors of PANSS were lower at 8th weeks than that in control group , and drug compliance were better than that in control group .The differences were significant .（ P〈0.01 or P〈0.05 ） .Conclusion： It suggests that the application of special cognitive-behavior approaches in nursing for patients with schizophrenia during a-cute-phase could improve positive symptoms and drug compliance .So it could improve nursing standard in patients with schizophrenia during acute-phase ,and should be popularized and applied .