规范化小组认知行为治疗在精神分裂症患者中的应用效果

Application effect of standardized group cognitive behavioral therapy in patients with schizophrenia

目的探讨规范化小组认知行为治疗在精神分裂症患者中的应用效果。方法选取2018年1月至2019年12月江西省精神病院精神科收治的60例精神分裂症患者为研究对象,根据随机数字表法分为对照组和观察组,每组各30例。对照组采用常规治疗,观察组在对照组基础上给予规范化小组认知行为治疗,两组连续治疗14 d后进行效果评价,比较两组的生活质量评分[健康调查简表(SF-36)]以及治疗前后的社会功能[住院精神病患者社会功能评定量表(SSPI)]、精神症状[简明精神病评定量表(BPRS)]和日常生活能力[日常生活能力量表(ADL)]。结果治疗后,观察组患者的SSPI评分高于对照组,差异有统计学意义(P<0.05);治疗后,观察组患者的SF-36各维度评分均高于对照组,差异有统计学意义(P<0.05);治疗后观察组患者的BPRS评分低于对照组,差异有统计学意义(P<0.05);治疗后,观察组患者的ADL评分高于对照组,差异有统计学意义(P<0.05)。结论针对精神分裂症患者开展规范化小组认知行为治疗,可在一定程度上将患者的日常生活能力、社会功能进行提升,同时还可有效改善其精神状态,生活质量提高。

Objective To explore the application effect of standardized group cognitive behavioral therapy in patients with schizophrenia.Methods A total of 60 patients with schizophrenia admitted to the Department of Psychiatry,Jiangxi Provincial Mental Hospital,from January 2018 to December 2019 were selected as research subjects.They were divided into control group and observation group according to the random number table method,with 30 cases in each group.The control group received routine treatment,and the observation group received standardized group cognitive behavioral therapy on the basis of the control group.The two groups were evaluated after 14 days of continuous treatment,and the quality of life scores(the MOS item short from health survey[SF-36]),social functioning(scale of social function in psychosis inpatients[SSPI]),psychiatric symptoms(brief psychiatric rating scale[BPRS])and ability of daily living(activity of daily living scale[ADL])were compared between the two groups before and after treatment.Results After treatment,SSPI score of observation group was higher than that of control group,and the difference was statistically significant(P<0.05).After treatment,the scores of SF-36 in each dimension of observation group were higher than those of control group,and the differences were statistically significant(P<0.05).After treatment,the BPRS score of observation group was lower than that of control group,and the difference was statistically significant(P<0.05).After treatment,the ADL score of observation group was higher than that of control group,and the difference was statistically significant(P<0.05).Conclusion Carrying out standardized group cognitive behavioral therapy for patients with schizophrenia can improve their daily living ability and social function to a certain extent,and also effectively improve their mental state and quality of life.