团体游戏联合自我松弛音乐疗法对精神分裂症患者自我管理能力、社会技能和生活质量的影响

Effect of group game combined with self-relaxation music therapy on self-management, social skills and quality of life of schizophrenic patients

目的探讨团体游戏联合自我松弛音乐疗法对精神分裂症患者自我管理能力、社会技能和生活质量的影响.方法选取2017年3~6月该院收治的精神分裂症患者75例作为研究对象.采用随机数字法将患者随机分为常规对照组、音乐疗法组与联合治疗组,各25例.常规对照组行抗精神病药物治疗,音乐疗法组采用药物联合自我松弛音乐疗法,联合治疗组采用药物联合团体游戏及自我松弛音乐疗法.干预3个月后,比较三组患者自我管理能力、社会技能以及生活质量.结果干预后,三组患者PANSS、SAPS、SANS评分均较干预前发生明显改善,改善幅度由大到小依次为联合治疗组、音乐疗法组、常规对照组,三组间比较,差异均有统计学意义(均P<0.05).干预后,联合治疗组干预后BPRS、MRSS评分明显低于音乐疗法组及常规对照组、音乐疗法组低于常规对照组,三组间比较,差异均有统计学意义(均P<0.05).干预后,三组患者各维度ITAQ评分均较干预前有明显提升,差异均有统计学意义(P<0.05),其中提升幅度由大到小依次为联合治疗组、音乐疗法组、常规对照组,三组间比较,差异有统计学意义(P<0.05).干预后,联合治疗组SDSS、SQLS评分明显低于音乐疗法组及常规对照组、音乐疗法组低于常规对照组,差异均有统计学意义(均P<0.05).结论团体游戏联合自我松弛音乐疗法能够改善精神分裂症患者的疾病症状,提高患者自我管理能力、社会技能以及生活质量.

Objective To investigate the effect of group game combined with self-relaxation music therapy on self-management, social skills and quality of life of schizophrenic patients. Methods A total of 75patients with schizo-phrenia admitted to the hospital from March to June 2017 were selected as research objects. According to the random number method, the patients were randomly divided into conventional control group, music treatment group and combination treatment group, 25 cases of each group. The conventional control group received antipsychotics. The music treatment group received drugs combined with self-relaxation music therapy. The combined treatment group received drugs combined with group games and self-relaxation music therapy. After 3 months of intervention, self-management a-bility, social skills and quality of life were compared among the three groups. Results After the intervention, PANSS, SAPS and SANS scores of the three groups were significantly improved compared with those before the intervention, and the improvement range was successively from large to small as the conventional control group , music treatment group and combination treatment group, and the differences between the three groups were statistically significant (P<0. 05). After intervention, BPRS and MRSS scores of the combined treatment group were significantly lower than those of the music treatment group and the conventional control group, the music treatment group was lower than the conventional control group, and the differences between the three groups were statistically significant (P<0. 05). After the intervention, ITAQ scores in all dimensions of the three groups were significantly improved compared with those before the intervention, and the differences were statistically significant (P<0. 05). Among them, the improvement range was succes-sively from large to small, combination treatment group, music treatment group and routine control group, and the differences between the three groups were statistically significant ( P<0. 05). After intervention, the scores SDSS and SQLS in the combined treatment group were significantly lower than those in the music treatment group and the conventional control group, while those in the music treatment group were lower than those in the conventional control group, and the differences between the three groups were statistically significant ( P<0. 05). Conclusion Group games combined with self-relaxation music therapy can improve the patientˊs disease symptoms, improve self-management, social skills and quality of life.