萨提亚家庭治疗对慢性精神分裂症患者的效果研究

Study on the efficacy of Satir model of family therapy to patients with chronic schizophrenia

目的观察萨提亚家庭治疗模式对慢性精神分裂症患者的干预效果,为慢性精神分裂症的治疗提供参考。方法 2016年5月-2017年5月在兰州市第三人民医院选取符合《国际疾病分类(第10版)》(ICD-10)诊断标准的慢性精神分裂症住院患者66例,采用随机数字表法分为研究组和对照组各33例。两组均接受抗精神病药物治疗和常规护理,在此基础上,研究组给予萨提亚家庭治疗,对照组给予支持性心理治疗。两组均干预6周。于干预前和干预6周后,采用自尊量表(SES)、症状自评量表(SCL-90)和家庭环境量表中文版(FES-CV)分别评定患者的自尊、心理状态及家庭环境。结果干预前,两组SES评分比较,差异无统计学意义(P> 0. 05);研究组SCL-90总评分及躯体化、强迫、人际敏感、焦虑、敌对、恐怖、其他因子评分均高于对照组,差异均有统计学意义(P均<0. 05);研究组成功性分量表评分低于对照组,差异有统计学意义(t=-2. 722,P <0. 01)。干预6周后,研究组SCL-90总评分及其除敌对因子外的9个因子评分均低于干预前(P均<0.01);研究组SES总评分、FES-CV中的独立性、成功性、道德宗教观分量表评分均高于干预前,差异均有统计学意义(P均<0. 01);FES-CV中的独立性分量表评分高于对照组(t=-2. 095,P <0. 05)。结论萨提亚家庭治疗可提高慢性精神分裂症患者的心理健康水平和自尊水平,改善患者家庭环境。

Objective To observe the efficacy of Satir model of family therapy to patients with chronic schizophrenia,to provide references for the treatment of chronic schizophrenia. Methods The 66 participants were the inpatients in The Third People＇s Hospital of Lanzhou from May 2016 to May 2017. All of them were diagnosed with chronic schizophrenia according to International Classification of Diseases,tenth edition（ ICD-10）. The participants were divided into two groups according to random number table,the study group and the control group,33 in each group. Both two groups have received antipsychotic drug treatment and routine nursing care for 6 weeks. At the same time,the patients in the study group were intervened with Satir model of family therapy while the patients in the control group were given supportive psychotherapy. Before and after intervention for 6 weeks,Self-esteem Scale（SES）,Symptom Checklist 90（SCL-90） and Family Environment Scale-Chinese Version（FES-CV） were applied to assess the self-esteem,psychological state and family environment of all participants. Results Before the intervention,there was no significant difference in the score of SES between two groups（ P〈0. 05）; the total score of SCL-90 and score of somatization,compulsion,interpersonal sensitivity,anxiety,hostility,phobia,and other factor in the study group were higher than those in the control group,and the differences were statistically significant（ all P〉0. 05）; the score of achievement orientation in FES-CV of study group was lower than that of the control group and the difference was statistically significant（ t =-2. 722,P〈0. 01）. After 6 weeks of intervention,the total score of SCL-90 and the score of 9 factors（ except for hostility） of the study group decreased significantly compared with baseline（ all P〈0. 01）. The total score of the SES,the score of the independence,achievement orientation and moral religion sub-scales in FES-CV has significantly increased compared with baseline（ all P〈0. 01）. The score of the independence sub-scale in FES-CV in study group was higher than that in the control group（t =-2. 095,P〈0. 05）. Conclusion Satir model of family therapy can improve the mental health,self-esteem and family environment of chronic schizophrenic patients.