团体绘画治疗对康复期精神分裂症住院患者阴性 症状、社会功能和自知力的治疗效果

Effects of group painting therapy on negative symptoms,social function,and insight in hospitalized patients with schizophrenia during rehabilitation stage

目的探讨团体绘画治疗对康复期精神分裂症住院患者阴性症状、社会功能和自知力的治疗效果。方法选取2023年2—8月在武汉市精神卫生中心睡眠障碍病区和康养病区住院的130例康复期精神分裂症患者作为研究对象。采用随机数字表法分为对照组(n=65)和研究组(n=65),分别实施常规治疗护理和联合团体绘画治疗。在干预前和干预4个月后,采用阳性与阴性症状量表(PANSS)、社会功能缺陷筛选量表(SDSS)和自知力及治疗态度测量问卷(ITAQ)比较两组患者临床症状、社会功能和对疾病的自知力情况。结果共125例患者完成研究,其中研究组63例、对照组62例。两组患者干预前PANSS各分量表、SDSS和ITAQ评分比较,差异无统计学意义(P>0.05)。对照组患者干预后PANSS阴性症状分量表评分低于干预前,差异有统计学意义(P<0.01)。研究组患者干预后PANSS阴性症状分量表、SDSS评分低于对照组和干预前,ITAQ评分高于对照组和干预前,差异均有统计学意义(均P<0.01)。结论团体绘画治疗有助于改善康复期精神分裂症住院患者的阴性症状、社会功能和自知力。

Objective To analyzethe effects of group painting therapy on negative symptoms,social function,and insight in hospitalized patients with schizophrenia during rehabilitation stage.Methods A total of 130 inpatients with schizophrenia during rehabilitation in the Department of Sleep Disorder and Department of Rehabilitation in Wuhan Mental Health Center from February to August 2023 were selected as the research subjects.Using a random number table method,the patients were divided into a control group(n=65)and a study group(n=65),and received routine treatment nursing and combined group painting treatment,respectively.Before and 4 months after the intervention,the Positive and Negative Symptom Scale(PANSS),Social Disability Schedule Scale(SDSS),and Insight and Treatment Attitude Questionnaire(ITAQ)were used to compare the clinical symptoms,social function,and insight towards the disease between the two groups of patients.Results A total of 125 patients completed the study,including 63 in the study group and 62 in the control group.There was no statistically significant difference in PANSS subscales,SDSS,and ITAQ scores between the two groups of patients before the intervention(P>0.05).The PANSS negative symptom subscale score of the control group patients after the intervention was lower than that before the intervention,and the difference was statistically significant(P<0.01).After the intervention,the PANSS negative symptom subscale and SDSS score of the study group were lower than those of the control group and before the intervention,and the ITAQ score was higher than those of the control group and before the intervention,with statistically significant differences(P<0.01).Conclusions Group painting therapy can improve the negative symptoms,social function,insight and treatment attitude of schizophrenic inpatients in rehabilitation stage.