生命树叙事法联合感觉运动训练在慢性稳定期精神分裂症患者中的应用

Application of tree of life narrative combined sensorimotor training in chronic stable schizophrenia

目的探究生命树叙事法联合感觉运动训练对慢性稳定期精神分裂症患者心理状况、临床症状、认知功能以及社会功能的影响。方法采用随机数字表法将2022年3月—2023年3月在湖州市第三人民医院就诊的97例慢性稳定期精神分裂症患者分为对照组(49例,常规护理)和试验组(48例,生命树叙事法联合感觉运动训练+常规护理),比较2组干预效果。结果试验组干预后自我效能感量表(GSES)评分高于对照组(P<0.05);病耻感量表(SSMI-C)评分低于对照组(P<0.05);阳性和阴性症状量表(PANSS)总分[(36.37±5.35)分]低于对照组[(46.83±7.44)分,P<0.05];威斯康星卡片分类测验(WCST)中持续错误次数[(7.94±2.11)次]低于对照组[(9.78±2.56)次,P<0.05],正确反应次数[(51.92±6.34)次]、概念化水平百分数[(65.77±7.23)%]高于对照组[(46.71±7.26)次、(60.33±4.99)%,均P<0.05];社会功能评定量表(SSPI)总分高于对照组(P<0.05)。结论生命树叙事法联合感觉运动训练可提高慢性稳定期精神分裂症患者自我效能感,降低病耻感,改善临床症状和认知功能,提高社会功能。

Objective To explore the effects of the tree of life narration combined with sensorimotor training on psychological status,clinical symptoms,cognitive function,and social function of patients with chronic stable schizophrenia.Methods A total of 97 patients with chronic stable schizophrenia treated in Huzhou Third Municipal Hospital from March 2022 to March 2023 were divided into a control group(49 cases,conventional care)and an experimental group(48 cases,tree of life narrative method combined with sensory-motor training+routine care)by random number table method.Results The score of general self-efficacy scale(GSES)in the experimental group was higher than that in the control group(P<0.05).The score of Chinese version of stigma scale for mental illness(SSMI-C)in the experimental group was lower than that of the control group(P<0.05).The total score of PANSS(36.37±5.35)in the experimental group was lower than that of the control group(46.83±7.44,P<0.05).The number of persistent errors(7.94±2.11)in the Wisconsin card sorting test(WCST)in the experimental group was lower than that in the control group(9.78±2.56,P<0.05),the number of correct reactions(51.92±6.34),and percentage of conceptualization(65.77±7.23)%in the WCST in the experimental group were higher than those in the control group[46.71±7.26,(60.33±4.99)%,P<0.05].The total score of scale of social function in psychosis inpatients(SSPI)in the experimental group was higher than that in the control group(P<0.05).Conclusion The tree of life narrative combined with sensorimotor training can improve self-efficacy,reduce stigma,improve clinical symptoms and cognitive function,and improve social function in chronic stable schizophrenia patients.