内观心理疗法对慢性精神分裂症患者社会人际关系、社会功能及生活质量的影响

The effect of Naikan therapy on social and interpersonal relationship,social function and quality of life in patients with chronic schizophrenia

目的探讨内观心理疗法对慢性精神分裂症患者社会人际关系、社会功能及生活质量的影响。方法选取2013年2月~2015年6月我院收治的120例慢性精神分裂症患者为研究对象,随机数字表法均分为研究组和对照组,对照组给予抗精神病药物治疗,研究组在对照组基础上加用内观心理疗法,治疗后评估两组社会人际关系、社会功能及生活质量并进行比较,同时随访两组患者治疗后1年复发情况。结果治疗前两组社会人际关系、社会功能及生活质量评估指标相较均无统计学意义(P>0.05),治疗后研究组人际关系敏感因子、敌对因子评分及社会人际关系各因子得分分别均较治疗前显著降低(P<0.05);治疗后1个月、2个月、3个月研究组住院精神患者社会功能评定量表(Social-Skills for Psychiatric Inpatients,SSPI)总评分均显著高于对照组(P<0.05);研究组躯体健康、心理健康、社会功能评分均显著高于对照组(P<0.05);研究组治疗后1年复发率(3.33%)及再住院率(1.67%)均显著低于对照组(复发率20.00%,再住院率11.67%)(P<0.05)。结论内观心理疗法可显著改善慢性精神分裂症患者社会人际关系、社会功能及生活质量,有效降低复发率及再住院率,在临床中有较广泛的应用价值。

Objective To explore the effect of Naikan therapy on social and interpersonal relationship, social function and quality of life in patients with chronic schizophrenia. Methods 120 patients with chronic schizophrenia admitted in our hospital between February 2013 and June 2015 were selected as study subjects. By the random number table method, they were divided into the study groups and the control group. The control group was treated with antipsychotics. On the basis, the study group was treated with Naikan therapy. The social and interpersonal relationship, social function and quality of life were evaluated and compared between the two groups after treatment. The recurrence rate of the two groups in l year after treatment was followed up. Results Before treatment, there were no significant differences in social and interpersonal relationship, social function and quality of life between the two groups （P 〉 0.05 ） . After treatment, the interpersonal sensitivity factor and hostility factor scores of the study group were significantly lower than those before treatment and the interpersonal relationship scores of the study group were significantly lower than those of the control group （ P 〈 0.05 ） ; The total score of Social-Skills for Psychiatric Inpatients （ SSPI ） in the study group was significantly higher than that of the control group after 1 month, 2 months and 3 months of treatment （P 〈 0.05 ）; After treatment, the scores of physical health, mental health and social function in the study group were significantly higher than those in the control group （P〈0.05）; In 1 year after treatment, the recurrence rate and rehospitalization rate of the study group （3.33 %, 1.67 % ） were significantly lower than those in the control group （P〈0.05）. Conclusion Naikan therapy can effectively improve the social and interpersonal relationship, social function and quality of life in patients with chronic schizophrenia, and effectively reduce the recurrence rate and re-hospitalization rate. It is of high application value in clinical practice.