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叶芷甸.团体认知行为联合作业疗法对精神分裂症患者症状及社会功能的影响[J].浙江中西医结合杂志,2021,31(12):
团体认知行为联合作业疗法对精神分裂症患者症状及社会功能的影响
Effect of group cognitive behavior combined with occupational therapy on symptoms and social function of patients with schizophrenia
投稿时间:2021-04-27  修订日期:2021-06-29
DOI:
中文关键词:  精神分裂症  团体认知行为  作业疗法  精神症状  社会功能  认知功能
英文关键词:Schizophrenia  Group cognitive behavior  Occupational therapy  Mental symptoms  Social function  Cognitive function
基金项目:
作者单位E-mail
叶芷甸* 温州市第七人民医院康复科 ya7r0nn@163.com 
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中文摘要:
      摘要:目的 探讨团体认知行为联合作业疗法对精神分裂症患者症状及社会功能的影响。方法 选择2020年1月-2020年12月于本院住院治疗的125例精神分裂症患者作为研究对象,随机数字表法分为观察组(n=62)和对照组(n=63)。两组均接受常规药物治疗,此基础上对照组采用作业疗法,观察组采用团体认知行为联合作业疗法。观察精神症状、社会功能、认知功能改善以及复发情况,评价服药依从性、生活质量和满意度。结果 治疗后两组患者阳性与阴性症状量表(PANSS)各维度及总分、社会功能缺陷筛选量表(SDSS)得分、精神分裂症病人生活质量量表(SQLS)各维度得分均较治疗前显著降低,且治疗后观察组低于对照组(P<0.05);治疗后两组患者精神分裂症认知功能成套测验(MCCB)各维度得分、服药依从性均较治疗前显著升高,且治疗后观察组高于对照组(P<0.05);观察组治疗总有效率和总满意度显著高于对照组(P<0.05)。结论 团体认知行为联合作业疗法可有效减轻精神分裂症患者症状,提高社会和认知功能,利于患者康复。
英文摘要:
      Abstract: Objective To investigate the effect of group cognitive behavior combined with occupational therapy on symptoms and social function of patients with schizophrenia. Methods 125 schizophrenic patients who were hospitalized in our hospital from January 2020 to December 2020 were selected as the subjects. The randomized digital table method was divided into observation group (n=62) and control group (n=63). Both groups received conventional drug treatment, on the basis of which the control group was given occupational therapy, and the observation group was given group cognitive behavior combined with occupational therapy. The improvement of mental symptoms, social function, cognitive function and recurrence were observed. Results After treatment, the dimensions and total scores of positive and negative symptom scale (PANSS), social disability screening scale (SDSS) and schizophrenia quality of life scale (SQLS) of schizophrenic patients in the two groups were significantly lower than those before treatment, and the observation group was lower than the control group after treatment (P<0.05). After treatment, the scores of each dimension of matrics consensus cognitive battery (MCCB) and medication compliance of the two groups were significantly higher than those before treatment, and the observation group was higher than the control group after treatment (P<0.05). The total effective rate and satisfaction of the observation group were significantly higher than that of the control group (P<0.05). Conclusion Group cognitive behavior combined with occupational therapy can effectively reduce the symptoms of patients with schizophrenia, improve social and cognitive function, and is conducive to the rehabilitation of patients.
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