认知行为干预在精神疾病患者中的治疗效果

Analysis of the effect of cognitive behavioral intervention in patients with mental illness

目的探讨针对精神疾病患者采用认知行为干预的效果。方法选取2019年8月至2020年8月聊城市第四人民医院收治的129例精神疾病患者为研究对象,采用随机数字表法分组,对照组64例和试验组65例,对照组患者采用抗精神疾病类药物治疗以及常规心理治疗。试验组患者在使用抗精神疾病类药物治疗的基础上给予认知行为干预。对两组的治疗效果,治疗前及治疗后评价阳性和阴性综合征量表(PANSS)以及社会功能缺陷筛选量表(SDSS)评分进行比较分析。结果试验组总有效率为90.77%,明显高于对照组的总有效率的70.31%,差异有统计学意义(P<0.05)。与对照组比较,试验组患者治疗后的PANSS评分明显更优,差异有统计学意义(P<0.05)。两组患者组内治疗前后SDSS评分均明显得到改善,差异有统计学意义(P<0.05);治疗前,两组患者的SDSS评分比较,差异无统计学意义(P>0.05),与治疗后对照组比较,试验组患者SDSS评分明显更优,差异有统计学意义(P<0.05)。结论认知行为干预可提高精神疾病患者的治疗效果,改善生活质量,值得在临床上推广应用。

Objective To explore the effect of cognitive behavior intervention on mental patients.Methods A total of 129 patients with mental illness in Liaocheng Fourth People's Hospital from August 2019 to August 2020 were selected and randomly divided into control group(n=64)and experimental group(n=65).The control group was treated with antipsychotic drugs and conventional psychotherapy.Patients in the experimental group were given cognitive behavior intervention on the basis of antipsychotic drugs.The treatment effect,positive and Negative Syndrome Scale(PANSS)and social disability screening scale(SDSS)scores before and after treatment were compared between the two groups.Results The total effective rate of the experimental group was 90.77%,which was significantly higher than 70.31%of the control group,the difference was statistically significant(P<0.05).After treatment,compared with the control group,the P ANSS score of the experimental group was significantly better,with statistically significant(P<0.05).The SDSS scores of the two groups were significantly improved after treatment,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the SDSS scores between the two groups before treatment(P>0.05),the SDSS scores of the experimental group were significantly better than those of the control group after treatment,the difference was statistically significant(P<0.05).Conclusion Cognitive behavioral intervention can improve the treatment effect and quality of life of patients with mental illness,which is worth y of clinical application.