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改良森田疗法干预对精神分裂症患者远期社会功能的影响▲
Effect of modified Morita therapy intervention on long-term social function of patients with schizophrenia

内科 201914卷02期 页码:37-40

作者机构:南宁市第五人民医院心理科,广西南宁市530001

基金信息:▲基金项目:2015年度第三批广西医药卫生自筹经费计划课题项目(Z2015651)
 *通信作者:吴月婵,广西南宁市第五人民医院心理科,电子邮箱 285079001@qq.com

DOI:10.16121/j.cnki.cn45-1347/r.2019.02.10

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目的探讨改良森田疗法干预对精神分裂症患者远期社会功能的影响。方法选取2015年3~12月我院收治的精神分裂症患者200例作为研究对象,采用随机数字表法分为观察组与对照组,每组100例。对照组患者给予常规药物治疗和康复训练,观察组患者在对照组康复治疗的基础上采用改良森田疗法进行干预。比较两组患者的社会功能缺陷筛选量表(SDSS)评分改善情况。结果干预前,两组患者SDSS各项目评分情况比较差异无统计学意义(P>0.05)。干预后1年,两组患者的职业和工作、婚姻职能、父母职能、社会性退缩、家庭外的社会活动、家庭内活动减少、家庭职能、个人生活自理、对外界的兴趣和关心、责任心和计划性项目评分均明显改善,干预后无缺陷患者所占比例显著增加,有缺陷患者所占比例显著减少;观察组患者的职业和工作、社会性退缩、家庭外的社会活动、家庭内活动减少、家庭职能、对外界的兴趣和关心项目评分的改善情况显著优于对照组,差异有统计学意义(P<0.05)。结论改良森田疗法干预能有效促进精神分裂症患者远期社会功能的恢复,提高患者的生活质量,值得推广应用。
ObjectiveTo explore the effect of modified Morita therapy intervention on long-term social function of patients with schizophrenia. Methods200 cases of schizophrenia patients admitted to our hospital from March to December 2015 were selected and randomly divided into observation group and control group, with 100 cases in each group. Patients in the control group were given conventional drug therapy and rehabilitation training, and the patients in the observation group were treated with modified Morita therapy on the basis of rehabilitation therapy in the control group. The improvements in social function deficit screening scale (SDSS) scores were compared between the two groups. ResultsThere was no significant difference in the scores of SDSS items between the two groups before the intervention (P>0.05). After one year of intervention, the occupation and work, marriage function, parental function, social withdrawal, social activities outside the family, reduction of activities within the family, family functions, personal care, interest and concern to the outside world, responsibility and planning improved significantly. The proportion of patients with no defects after intervention increased significantly and that with defects decreased significantly. The improvement of occupation and work, social withdrawal, social activities outside the family, reduction of activities within the family, family functions, interest and concern to the outside world in the observation group were significantly superior than those in the control group. The difference was statistically significant(P<0.05). ConclusionModified Morita therapy intervention can effectively promote long-term social function recovery of patients with schizophrenia and improve their life quality, it is worthy of promotion and application.

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