探讨团体认知行为治疗联合无抽搐电休克对精神分裂症患者疗效的影响

Clinical Effect of Cognitive-behavioral Group Therapy and MECT in Patients with Schizophrenia

目的:研究对于精神分裂症患者实施无抽搐电休克治疗过程中,运用团体认知行为治疗干预对临床疗效的影响。方法:选取本院2015年3月-2016年6月收治精神分裂症首次行无抽搐电休克治疗的84例患者,按照床号先后顺序将其划分为研究组与对照组,每组各42例。对照组由护士予常规心理治疗干预,研究组由心理治疗师应用团体认知行为治疗半年,采用BPRS评分量表评估患者干预后治疗情况,使用Zung焦虑自评量表(SAS)观察患者焦虑改善情况,采用QLQ-C30生存质量评估量表总结患者出院后生活质量评分。结果:两组患者入院时BPRS评分比较差异无统计学意义(P>0.05);干预后及出院半年后研究组评分明显低于对照组,患者病情改善较好,两组比较差异均有统计学意义(P<0.05)。入院时,两组患者焦虑评分比较差异无统计学意义(P>0.05);经护理干预后、出院半年后再次测评,研究组焦虑情绪改善情况优于对照组(P<0.05)。对照组患者生活自理行为、情绪稳定、社交活动、家庭成员相处等方面指标评分均较低,研究组均较高,两组比较差异均有统计学意义(P<0.05)。结论:临床针对精神分裂症患者实施无抽搐电休克治疗,同时应用贝克认知干预理念加以指导,可有效改善患者焦虑情绪,提高治疗效果与患者生活质量。

Objective： To study the clinical effect of cognitive-behavioral group therapy and MECt （ modified electroconvulsive therapy ） in patients with schizophrenia.Method ： 84 schizophrenia patients of adopting the MECT from March 2015 to June 2016 in our hospital were selected.The subjects were divided into two groups according to the hospital bed number, 42 cases in each group.The control group adopted the conventional mental intervention, the study group adopted the cognitive-behavioral group therapy for half a year.The BPRS points, SAS points and QLQ-C30 points of two groups were evaluated.Result： Before treatment, the BPRS points for two groups were not significantly different （ P〉0.05 ） ; after intervention and after half a year, the BPRS points for study group were lower than control group （ P〈0.05 ） .At admission to hospital, the SAS points for two groups were not significantly different （ P〉0.05 ） ; after intervention and after half a year, the SAS points for study group were better than control group （ P〈0.05 ） .The evaluation scores of self-help ability, emotional stability, social activity and family relations in control group were lower than study group （ P〈0.05 ） .Conclusion： During the MECT, Beck cognitive therapy can improve the patients＇ anxiety emotions, clinical effect and life quality.