认知行为干预对首发精神分裂症患者自知力及生活质量的影响

Effect of cognitive behavioral intervention on self-knowledge and quality of life in first-episode schizophrenia patients

目的探讨认知行为干预对首发精神分裂症患者自知力及生活质量的影响。方法选取2018年1~11月本院收治的首发精神分裂症患者90例,根据随机数字表法分为两组,各45例。对照组予以常规对症治疗,观察组在此基础上采用认知行为干预,比较两组患者自知力、临床症状改善情况、生活质量及复发率。结果与对照组比较,观察组患者自知力及治疗态度问卷(ITAQ)评分较高,差异有统计学意义(P<0.05);与对照组比较,观察组患者阳性和阴性症状量表(PANSS)各分量表评分、精神分裂症患者生活质量量表(SQLS)各维度评分及复发率均较低,差异有统计学意义(P<0.05)。结论实施认知行为干预能明显恢复首发精神分裂症患者自知力,有效缓解临床症状,改善生活质量,减少疾病复发。

Objective To investigate the effect of cognitive behavioral intervention on the self-knowledge and quality of life of first-episode schizophrenia patients.Methods 90 patients with first-episode schizophrenia admitted in our hospital from January to November 2018 were enrolled in the study.According to the random number table method,they were divided into two groups,with 45 cases in each group.The control group received routine symptomatic treatment.The observation group received cognitive behavioral intervention based on the above treatment.The self-knowledge,improvement of clinical symptoms,quality of life and recurrence rate between the two groups were compared.Results Compared with those of the control group,the scores of the self-knowledge and treatment attitude questionnaire(ITAQ)in the observation group were higher,and the differences were statistically significant(P<0.05).Compared with those of the control group,the scores of the positive and negative symptom scales(PANSS),the each dimension score of the quality of life of the schizophrenia patients(SQLS)and recurrence rate of the observation group were lower,and the differences were statistically significant(P<0.05).Conclusion The implementation of cognitive behavioral intervention can significantly restore the self-knowledge of first-episode schizophrenia patients,effectively alleviate clinical symptoms,improve quality of life,and reduce disease recurrence.