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社会认知交互训练对精神分裂症患者自测健康水平的影响研究

Effect of social cognition and interaction training on self-assessed health status of schizophrenic patients

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【作者】 叶雪花袁朝霞朱小英章秋萍

【Author】 YE Xuehua;YUAN Zhaoxia;ZHU Xiaoying;Department of Psychiatry,The Seventh People’s Hospital of Hangzhou City;

【机构】 杭州市第七人民医院精神科

【摘要】 目的探讨社会认知交互训练(SCIT)对精神分裂症患者自测健康水平的影响。方法将240例康复期的精神分裂症患者通过随机数字表法分为实验组和对照组,剔除脱落病例后,两组各108例,对照组患者正常接受抗精神病药物治疗外执行常规社会技能训练,实验组患者在对照组患者的基础上,给予SCIT训练团体课程训练,分别于干预前、干预6个月随访时运用自测健康量表对两组患者的生理健康、心理健康和社会健康水平进行测量评估。结果干预前,两组患者自测生理健康、心理健康和社会健康及自测健康总分比较,差异均无统计学意义(t分别=0.81、0.53、1.15、1.10,P均>0.05);干预6个月随访时,实验组患者自测生理健康、心理健康和社会健康及自测健康总分均明显高于对照组,差异均有统计学意义(t分别=7.94、15.01、13.03、17.38,P均<0.05)。结论 SCIT能提高精神分裂症患者的生理健康、心理健康和社会健康水平。

【Abstract】 Objective To explore the effect of social cognitive interaction training(SCIT)on self-rated health status of schizophrenic patients. Methods Totally 240 schizophrenic patients were randomly divided into the experimental group and the control group.After removing the shedding cases,108 cases in each group.The patients in the control group received routine social skills training in addition to the normal treatment of antipsychotics.The patients in the experimental group were given SCIT training on the basis of the treatment of the control group,and the intervention lasted for 6 months.The physical health,mental health and social health of the two groups were measured and evaluated with the selfrated health scale before and after 6 months of intervention. Results Before the intervention,there was no significant difference in the self-rated physical health,mental health,social health and the total score of self-rated health between the two groups(t=0.81,0.53,1.15,1.10,P>0.05).At the end of 6-month following-up,the self-rated physical health,mental health,social health and the total score of self-rated health of the experimental group were significantly higher than those of the control group(t=7.94,15.01,13.03,17.38,P<0.05). Conclusion SCIT can improve the physical health,mental health,and social health of patients with schizophrenia.

【基金】 杭州市科技局医疗卫生及重点专科专病科研项目(20140733Q48)
  • 【文献出处】 全科医学临床与教育 ,Clinical Education of General Practice , 编辑部邮箱 ,2021年04期
  • 【分类号】R749.3
  • 【被引频次】1
  • 【下载频次】66
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