心理干预对康复期精神分裂症患者康复效果的影响

The effect of psychological intervention on rehabilitation out- come of convalescence schizophrenia patients

目的探讨心理干预对康复期精神分裂症患者康复效果的影响。方法将60例康复期精神分裂症患者随机分为两组，均予以常规抗精神病药物治疗及护理，研究组在此基础上联合心理干预。观察2个月。采用简明精神病量表、住院精神病人康复疗效评定量表评定临床疗效。结果心理干预2个月后两组简明精神病量表总分和住院精神病人康复疗效评定量表总分及各因子分均较干预前显著降低（P〈0．05或0．01），研究组显著低于对照组（P〈0．01）。结论心理干预可有效提高康复期精神分裂症患者的生活能力及社交能力，延缓患者的精神衰退，有利于促进患者全面康复。

Objective To explore the effect of psychological intervention on rehablhtatlon outcome ot con- valescence schizophrenia patients. Methods Sixty convalescence schizophrenics were randomly assigned to two groups, both groups received routine antipsychotic treatment and nursing, on this basis research group was plus mental intervention for 2 months. Efficacies were assessed with the Brief Psychiatric Rat- ing Scale （BPRS） and Inpatient Psychiatric Rehabilitation Outcome Scale （IPROS）. Results The total and each factor scores of both groups lowered more significantly after 2 month intervention compared with preintervention （P〈0.05 or 0.01）, so did those in research than in control group （P〈0.01）. Conclusion Psychological interventions could effectively improve viability and sociability of convalescence schizophrenia patients, postpone patients＇ mental deterioration, and are beneficial to promote patients＇ comprehensive rehabilitation.