重塑自尊训练对慢性精神分裂症患者的疗效观察

Observation of effect of reshaping self-esteem training on patients of chronic schizophrenia

目的:观察重塑自尊训练对慢性精神分裂症患者的康复疗效。方法:选取慢性精神分裂症患者60名,随机分为治疗组和对照组,每组各30例,治疗组患者给予重塑自尊训练,内容为知识讲座、重塑自尊、自我表达、自我塑造等八个方面训练,每周一次,每次90 min;对照组患者采用日常康复活动的训练。用自尊量表(SES)评估自尊水平、用住院精神病患者社会功能评定量表(SSPI)评估社会功能情况,二种量表分别于治疗前后各评定一次,比较两组评定效果。结果:两组患者在入组前SES和SSPI评分均无差异,治疗结束后,治疗组患者评分均较对照组提高(P<0.01)。结论:重塑自尊训练在提高慢性精神分裂症患者的自尊水平要优于日常康复训练。

Objective: To explore rehabilitation efficacy of the reshaping self-esteem training on patients of chronic schizophrenia. Methods: 60 patients with chronic schizophrenia were randomly divided into treatment group and control group,each group of30 people. The treatment group was given the training of reshaping self-esteem,including eight aspects like knowledge lectures,reshaping the self-esteem,self expression,self-shaping,and so on,once a week and 90 min / time; while the control group received the routine rehabilitation activities. The self-esteem scale( SES) was used to assess levels of self-esteem and scale of social function in psychosis inpatients( SSPI) was used to assess social function before and after the treatment. The effects of the two groups were compared. Results: There were no differences in SES and SSPI scores between the two group before the treatment; however,after the treatment,the two scores of treatment group were obviously higher than those of control group( P<0.01). Conclusions: Reshaping self-esteem training is beneficial to improve the level of self-esteem of chronic schizophrenia patients than routine rehabilitation exercises.