团体心理干预对精神分裂症患者病情控制和社会功能的影响

Effect of group psychological intervention on disease control and social functioning in patients with schizophrenia

目的 分析团体心理干预对精神分裂症患者服药依从性、病情控制和社会功能的影响。方法 选取2020年1月—2022年3月本院收治的82例精神分裂症患者,采用随机数字表法分为研究组与对照组。对照组采用常规护理,研究组在对照组基础上采用团体心理干预。结果 研究组服药依从率为97.56%,高于对照组的80.49%(χ^(2)=4.493,P<0.05)。干预3个月后,研究组PANSS评分为(36.21±1.56)分、RSES评分为(33.26±2.11)分,均优于对照组的(47.21±2.84)分、(30.05±1.87)分(P<0.01);研究组日常生活能力(10.03±0.87)分、交往及始动性(13.21±1.19)分、社会技能评分(12.98±1.12)分,高于对照组的(9.11±0.76)分、(11.85±1.07)分、(11.15±1.05)分(P均<0.05);研究组WMS、Mo CA评分分别为(22.31±2.03)分、(24.21±1.96)分,高于对照组的(19.54±1.88)分、(21.05±1.89)分(P<0.01)。结论 团体心理干预应用于精神分裂症患者,可提高患者服药依从性,控制疾病进展,并能提升患者自尊感,改善社会功能和记忆认知功能。

Objective To analyze the effect of group psychological intervention on medication compliance,disease control,and social function in patients with schizophrenia.Methods A total of 82 patients with schizophrenia admitted to our hospital from January 2020 to March 2022 were enrolled and divided into a trial group and a control group by the random number table method.The control group used usual care,and the trial group used group psychological intervention on the basis of the control group.Results The medication adherence rate in the trial group was 97.56%,higher than that of the control group:80.49%(χ^(2)=4.493,P<0.05).After 3 months of intervention,the PANSS score and RSES score in the trial group were(36.21±1.56)and(33.26±2.11)respectively,which were superior to those in the control group:(47.21±2.84)and(30.05±1.87)(P<0.01).The scores of ADL(10.03±0.87),communication and initiative(13.21±1.19),and social skills(12.98±1.12)in the trial group were higher than those in the control group:(9.11±0.76),(11.85±1.07)and(11.15±1.05)(all P<0.05).The WMS and MoCA scores of the trial group were(22.31±2.03)and(24.21±1.96)respectively,which were higher than those of the control group:(19.54±1.88)and(21.05±1.89)(P<0.01).Conclusions The group psychological intervention applied to patients with schizophrenia can improve medication compliance,control the disease progression,enhance self-esteem,and improve social function and memory cognitive function.