认知适应训练对精神分裂症患者认知功能及社会功能的影响

Effect of cognitive adaptation training on cognitive function and social function of schizophrenia patients

目的 分析认知适应训练对精神分裂症患者的效果,及对患者认知功能及社会功能等指标的影响。方法 采用便利抽样法,选取2019年10月—2023年6月绍兴市第七人民医院收治的166例男性精神分裂症患者,根据随机数字表法将其分为对照组(83例)和观察组(83例)。对照组应用常规护理及康复训练,观察组在对照组基础上应用认知适应训练。比较2组患者干预前后精神症状、认知功能及社会功能,统计2组患者服药依从性。结果 干预后,2组患者阳性和阴性症状量表(PANSS)评分均下降,且观察组各维度得分及总分均明显低于对照组(P<0.05);干预后,2组患者精神分裂症认知功能成套测验(MCCB)得分均提高,且观察组得分[(55.71±3.82)分]明显高于对照组[(53.21±4.16)分,P<0.05];干预后,2组患者功能大体评定量表(GAF)、个人和社会功能量表(PSP)得分均提高,观察组得分分别为(75.43±5.83)分、(63.35±4.63)分,均高于对照组[(68.92±6.90)分、(58.91±5.39)分,P<0.05]。观察组患者服药依从性高于对照组(P<0.05)。结论 认知适应训练能在常规治疗及护理的基础上减轻精神分裂症患者疾病症状,改善患者认知功能及社会功能,并有效提高患者服药依从性,值得临床应用。

Objective To analyze the nursing effect of cognitive adaptation training on patients with schizophrenia,as well as its impact on indicators such as cognitive function and social function.Methods Using convenient sampling method,166 patients with schizophrenia admitted to Shaoxing Seventh People's Hospital from October 2019 to June 2023 were chosen as the research object,and they were randomly split into control group and observation group,with 83 patients in each group.Patients in the control group were given routine nursing and rehabilitation training,while patients in the observation group were given cognitive adaptation training on the basis of the control group.The mental symptoms,cognitive function and social function of the two teams were compared before and after intervention,and the medication compliance of the two groups was counted.Results After the intervention,the positive and negative symptom scale(PANSS)of the two groups decreased,and the scores and total scores of each dimension in the observation group were obviously lower than those in the control group(P<0.05).After the intervention,the scores of MATRICS consensus cognitive battery(MCCB)of patients in both groups were improved,and the observation group scored(55.71±3.82)points were obviously higher than that in the control groups[(53.21±4.16)points,P<0.05].After the intervention,the patients'global assessment of function(GAF)and personal and social performance scale(PSP)in both groups were improved,but the scores of each scale in the observation group were(75.43±5.83)points and(63.35±4.63)points,respectively,which were higher than those in the control groups[(68.92±6.90)points and(58.91±5.39)points,P<0.05].The medication compliance of the observation group was higher than that of the control group(P<0.05).Conclusion Cognitive adaptation training can relieve the symptoms of schizophrenia patients on the basis of routine treatment and nursing,improve their cognitive and social functions,and effectively improve their medication compliance,which is worthy of clinical application.