音乐疗法对精神分裂症康复期患者康复效果、社会功能及生活质量的影响

The influence of music therapy on rehabilitation,social function and quality of life in schizophrenic patients in recovery period

目的探讨音乐疗法对精神分裂症康复期患者康复效果、社会功能及生活质量的影响。方法 70例住院的精神分裂症康复期患者随机分为研究组和对照组,各35例,2组均继续给予以原有的抗精神病药物维持治疗和常规护理措施,研究组辅以音乐治疗,共治疗6个月。观察2组入组时及干预6个月后Morning Side康复状态量表(MRSS)、社会功能缺陷筛选量表(SDSS)、生活质量综合评定问卷(GQOLI-74)评分。结果研究组MRSS量表、SDSS量表评分较入组时下降,且低于对照组(P<0.05或P<0.01);研究组GQOLI-74量表各维度评分较入组时提高,且高于对照组,差异均有统计学意义(P<0.01)。结论音乐治疗能有效促进精神分裂症患者康复,帮助患者恢复社会功能,改善生活质量。

Objective To investigate the influence of music therapy on rehabilitation, social function and quality of life in schizophrenic patients in recovery period. Methods A total of 70 schizophrenic patients in recovery period were randomly divided into the study group and the control group, with 35 cases in each group. Both two groups were given antipsychotic drug treatment and routing nursing care, and the study group was provided with music therapy for 6 months. The score of Momingside rehabilitation status scale （MRSS） , social disability screening schedule （ SDSS） and Generic quality of life inventory-74 （GQOLI-74） were compared between two groups on set and 6 months after intervention. Results The MRSS and SDSS were decreased in patients from the study group 6 month after on set, and were significant lower compared with those of controls （P 〈0.05 or P 〈0.01）. The study group had a higher score in each dimension of GQOLI-74 at 6 months after intervention compared with the control group （ P 〈 0. 01 ） . Conclusion Music therapy can effectively promote the rehabilitation and improve the quality of life in schizophrenic patients in recovery period.