CCRT联合渐进性肌肉放松训练在精神分裂症患者中的应用

Application of CCRT Combined with Progressive Muscle Relaxation Training in Patients with Schizophrenia

目的:观察计算机认知矫正治疗(CCRT)联合渐进性肌肉放松训练对精神分裂症患者心理及社会功能的影响,分析两者联合在精神分裂症患者中的应用价值。方法:选择2019年10月-2021年10月于抚州市第三医院接受治疗的90例精神分裂症患者作为研究对象,按随机数字表法将患者分为两组,各45例。两组患者均接受常规药物治疗,对照组采取常规工娱干预,观察组采取CCRT联合渐进性肌肉放松训练。两组均干预3个月后,比较两组临床症状[阳性和阴性症状量表(PANSS)]、心理状况[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、病耻感情况及社会功能[住院精神病人社会功能评定量表(SSPI)]。结果:干预后,两组PANSS各项评分及总分均低于干预前,观察组阴性症状、一般精神病症状评分及PANSS总分均低于对照组(P<0.05);干预后,两组SAS、SDS评分均低于干预前,观察组均低于对照组(P<0.05);干预后,两组社交因子、治疗因子、能力因子评分及总分均低于干预前,观察组社交因子、能力因子评分及总分均低于对照组(P<0.05);干预后,两组SSPI评分均高于干预前,观察组高于对照组(P<0.05)。结论:CCRT联合渐进性肌肉放松训练能够有效改善精神分裂症患者临床症状,缓解其心理压力,降低病耻感,提高社会功能。

Objective:To observe the effect of computerized cognitive remediation therapy(CCRT) combined with progressive muscle relaxation training on the psychological and social function of patients with schizophrenia,and analyze the application value of the combination of the two in patients with schizophrenia.Method:A total of 90 patients with schizophrenia treated in Fuzhou Third Hospital from October 2019 to October 2021 were selected as study subjects.They were divided into two groups according to random number table,with 45 cases in each group.The patients in both groups received routine drug treatment,the control group received routine work and entertainment intervention,and the observation group received CCRT combined with progressive muscle relaxation training.After 3 months of intervention,the levels of clinical symptoms [positive and negative symptom scale(PANSS)],psychological status [self-rating anxiety scale(SAS),self-rating depression scale(SDS)],stigma and social function [scale of social function in psychosis inpatients(SSPI)] were compared between the two groups.Result:After intervention,the each item score and total score of PANSS in the two groups were lower than those before intervention,the negative symptoms,general psychotic symptoms scores and the total score of PANSS in the observation group were lower than those in the control group(P<0.05);after intervention,the SAS and SDS scores in the two groups were lower than those before intervention,and those in the observation group were lower than those in the control group(P<0.05);after intervention,the social factor,treatment factor,ability factor scores and total scores of the two groups were lower than those before intervention,and the social factor,ability factor scores and total score of the observation group were lower than those in the control group(P<0.05);after intervention,the SSPI scores in the two groups were higher than those before intervention,and that in the observation group was higher than that in the control group(P<0.05).Conclusion:CCRT combined with progressive muscle relaxation training can effectively improve the clinical symptoms,relieve the psychological pressure,reduce the stigma and improve social function of patients with schizophrenia.