【摘要】 目的观察对住院精神分裂症患者在药物治疗的基础上给予康复训练与认知行为治疗对其社会功能和认知力的影响。方法选择90例经药物治疗的精神分裂症患者为研究对象,其中45例给予康复训练和认知行为治疗的患者为研究组,45例给予健康教育的患者为对照组,观察期为6个月,以健康状况问卷(SF-36)和自知力及治疗态度问卷(ITAQ)为研究工具,比较两组的健康状况得分和ITAQ得分。结果干预6个月后,研究组在生理机能、生理职能、社会功能、情感职能、精神健康与健康变化得分均显著优于对照组(P<0.05),研究组ITAQ得分显著优于对照组(P<0.01)。结论住院精神分裂症患者在保持药物治疗的同时给予康复训练和认知行为治疗效果显著,值得推广与应用。更多还原

【Abstract】 Objective To observe the effect of rehabilitation training and cognitive behavioral therapy based on drug treatment on the social function and insight of inpatients with schizophrenia. Methods Ninety patients with schizophrenia were selected in this study. All patients were given drug therapy, in addition, 45 cases of research group were given rehabilitation training and cognitive behavioral therapy,and 45 cases of control group were given health education. The observation period was 6 months. The MOS item short form health survey(SF-36) questionnaire, and insight and treatment attitudes questionnaire(ITAQ) were used for investigation. Results After 6 months of intervention, the research group was superior to the control group in the physical function, role-physical, social function, role-emotion, mental health and reported health transition(P <0.05), and the ITAQ score of research group was significantly higher than that of control group(P<0.01). Conclusions Based on drug treatment, rehabilitation training and cognitive behavioral therapy have significant effect for inpatients with schizophrenia, which is worthy of application.更多还原