《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (05): 479-481.

• 临床研究 • 上一篇    下一篇

自知力教育和自信心训练对首发精神分裂症患者生活质量及幸福度的影响

侯东强; 曾昭祥; 王合营; 韩凤珍   

  1. 济宁市精神病防治院精神科,山东济宁市 272051
  • 收稿日期:2006-12-15 出版日期:2007-05-01 发布日期:2007-05-01

Effect of Insight Education and Self-Confidence Training on The Quality of Life and Well-being Rating in First Episode Schizophrenia

HOU Dong-qiang, ZENG Zhao-xiang, WANG He-ying, etal   

  1. JiningHospital for Prevention and Treatment of Psychiatric Diseases, Jining 272051, Shandong, China
  • Received:2006-12-15 Published:2007-05-01 Online:2007-05-01

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被引次数

12

摘要： 目的探讨自知力教育和自信心训练对首发精神分裂症患者生活质量及幸福度的影响。方法将96例首发精神分裂症患者随机分为观察组和对照组各48例,两组均予以利培酮系统治疗,观察组在此基础上,予自知力教育和自信心训练8周,随后对两组患者进行为期0.5年的随访。采用阴性与阳性症状量表(PANSS)、世界卫生组织生活质量量表(WHO,QOL-100)、总体幸福感量表(GWB)及自尊量表(SES)分别于入组时及随访结束时进行评估。结果入组时,PANSS、QOL-100、GWB及SES评分两组间比较,均无显著性差异(P>0.05);随访结束时,观察组PANSS总分及阴、阳性症状评分均明显低于对照组(P<0.01);而生活质量总评分,心理领域、独立性领域、社会关系领域评分及GWB、SES评分均高于对照组(P<0.05或P<0.01)。结论自知力教育和自信心训练有助于缓解首发精神分裂症患者的精神症状,提高其生活质量及幸福度。

关键词: 自知力教育, 自信心训练, 精神分裂症, 生活质量, 幸福度

Abstract: Objective To explore the effect of insight education and self-confidence training on the quality of life and well-being rating of first episode schizophrenia. Methods 96 inpatients with first episode schizophrenia were randomly divided into the observed group (48 cases) in which patients were treated with risperidone plus insight education and self-confidence training and the control group (48 cases) in which patients were treated with risperidone only. These patients had been treated for 8 weeks and followed up for 0.5 year after discharged. The assessments included the Positive and Negative Symptoms Scale (PANSS),WHO QOL-100,General Well-Being Schedule (GWB) and the Self-Esteem Scale (SES) before the treatment and at the end of the following-up. Results The scores of PANSS, QOL-100, GWB and SES in both groups didn't show significant difference before the treatment (P>0.05). At the end of following-up, the total score, negative score and positive score of PANSS in the observed group were lower than that in the control group (P<0.01), while the total score of QOL-100, areas of mentality, dependence, social relation factor scores, the scores of GWB and SES in the observed group were higher than that in the control group(P<0.05 or P<0.01). Conclusion The insight education and self-confidence training can help to improve the symptom of first episode schizophrenia and enhance their quality of life and well-being rating.

Key words: insight education, self-confidence training, schizophrenia, quality of life, well-being rating