分散内观认知法干预对偏执型精神分裂症康复期患者临床症状、社会功能的影响

Effect of Decentralized NaiKan Cognitive Therapy on Clinical Symptoms and Social Function of Patients with Paranoid Schizophrenia during Rehabilitation Period

目的:探究分散内观认知法干预对偏执型精神分裂症康复期患者临床症状、社会功能的影响。方法:将2021年10月—2023年1月惠安县疗养院收治的100例偏执型精神分裂症患者纳入研究,根据康复期接受的不同干预方式进行分组,将接受常规康复护理的患者纳入常规康复组(46例),将接受分散内观认知法干预的患者纳入内观认知组(54例),两组干预周期均为6周。比较两组干预前后症状表现[阳性和阴性症状量表(PANSS)]、症状控制情况[简明精神病评定量表(BPRS)]、社会功能[个人和社会功能量表(PSP)]、社会适应能力[社会适应能力量表(SAFE)]及患者配合度。结果:干预后,两组PANSS评分、BPRS评分、SAFE评分低于干预前,且内观认知组低于常规康复组,两组PSP评分高于干预前,且内观认知组高于常规康复组,差异有统计学意义(P<0.05)。内观认知组总配合度高于常规康复组,差异有统计学意义(P<0.05)。结论:分散内观认知法干预可有效控制康复期偏执型精神分裂症患者的临床症状表现,提高社会功能和配合度。

Objective:To explore the effect of decentralized NaiKan cognitive therapy on clinical symptoms and social function in patients with paranoid schizophrenia during rehabilitation period.Method:From October 2021 to January 2023,a total of 100 patients with paranoid schizophrenia who admitted to Hui’an County Sanatorium were included in the study,according to the different treatment methods received during rehabilitation period,the patients who received routine rehabilitation nursing were included in the routine rehabilitation group(46 cases),and the patients who received decentralized NaiKan cognitive intervention were included in the NaiKan cognitive group(54 cases),two groups were intervened for 6 weeks.The symptoms[positive and negative symptom scale(PANSS)],symptoms control[brief psychiatric rating scale(BPRS)],social function[personal and social performance scale(PSP)]and social adaptability[social-adaptive functioning evaluation(SAFE)]before and after intervention and patients'cooperation in two groups were compared.Result:After intervention,the PANSS scores,BPRS scores and SAFE scores of two groups were lower than those before intervention,and those of the NaiKan cognitive group were lower than those of the routine rehabilitation group,the PSP scores of two groups were higher than those before intervention,and that of the NaiKan cognitive group was higher than that of the routine rehabilitation group,the differences were statistically significant(P<0.05).The total coordination degree of the NaiKan cognitive group was higher than that of the routine rehabilitation group,and the difference was statistically significant(P<0.05).Conclusion:Decentralized NaiKan cognitive therapy can effectively control the clinical symptoms of patients with paranoid schizophrenia during rehabilitation period,and improve social function and cooperation.