认知行为改善精神分裂症患者生活质量效果

The Cognitive Behavioral Therapy on Improving the Quality of Life of Schizophrenic Patients

目的探讨认知行为治疗改善精神分裂症患者生活质量的临床效果。方法将我院2015年1月—2017年1月收治的100例精神分裂症患者作为研究对象。根据不同治疗方法分为两组。两组患者均给予药物治疗,对照组支持性心理治疗,观察组再给予支持性心理治疗与认知行为治疗,对比两组患者CSQ、IBS、PANSS评分、3个时点上WHOQOL-BREF评分,并分析影响生活质量改善效果的因素。结果两组患者CSQ、IBS、PANSS评分对比,差异无统计学意义(P> 0.05)。观察组WHOQOL-BREF评分第12周总分高于对照组,差异具有统计学意义(P <0.05)。观察组患者的生活质量改善率高于对照组,差异具有统计学意义(χ2=61.74,P <0.05)。结论认知行为治疗能有效改善精神分裂症患者生活质量。

Objective To explore the clinical effect of cognitive behavior therapy in improving the quality of life of schizophrenic patients. Methods 100 schizophrenic patients from January 2015 to January 2017 in our hospital were divided into two groups according to different treatment methods. The two groups were given medication, the control group was given supportive psychotherapy, and the observation group was given supportive psychotherapy and cognitive behavioral therapy. The scores of CSQ, IBS, PANSS and WHOQOL-BREF at three time points were compared between the two groups, and the factors affecting the improvement of quality of life were analyzed. Results There was no significant difference in CSQ, IBS and PANSS scores between the two groups (P > 0.05). The total score of WHOQOL-BREF in the observation group was higher than that in the control group at the 12th week (P < 0.05). The improvement rate of quality of life in the observation group was higher than that in the control group (χ^2=61.74, P < 0.05). Conclusion Cognitive behavioral therapy can effectively improve the quality of life in schizophrenic patients.