摘要
目的本次研究旨在将积极心理学团体心理治疗应用到我院康复期精神分裂症病人中,并选取情况类似的对照组进行对比,把积极心理学融入治疗之中,探讨其对患者整体康复水平的影响。方法选取2020年5~7月在我院住院的精神分裂症病人为研究对象,选择实验组和对照组各10人,实验组病人每周进行两次团体心理治疗,持续3周的结构化团体心理治疗模式,对照组不做任何干预,采用复原力量表[1]、自尊量表(SES)和住院精神病人康复疗效评定量表(IPROS,由管床的医护人员进行评价),对实验组和对照组都分别在团体治疗开始前和最后一次团体治疗结束后进行评估。结果实验组和对照组病人的自尊总分在治疗前后表现出显著差异,实验组参加在治疗后得分显著高于对照组(P<0.05),实验组内成员在参加治疗后得分显著高于治疗前得分(P<0.001);同时,治疗干预后,实验组的复原力在自我接纳、自我效能、稳定性、朋友支持和家人支持上得分均显著高于对照组(P<0.05),实验组内成员在实验前后上述各项得分也有统计学上的显著提升(P<0.05);此外,通过管床医生(护士)评分的住院精神病人康复疗效评定量表得分也显示实验组和对照组在治疗前后统计学上的显著差异(P<0.05)以及实验组病人在3周活动前后得分显著低于治疗前。实验组和对照组的自尊总分、复原力各项因子得分、康复疗效评分在治疗前、后均表现出统计学上的显著差异(P<0.05),对照组上述得分在治疗前后得分差异也不显著(P>0.05)。结论参加积极心理学团体治疗课题提升康复期精神分裂症患者社会功能恢复水平。
Objective The purpose of this study is to apply positive psychology group psychotherapy to the patients with schizophrenia in our hospital,to select a similar situation of the control group for comparison,and to integrate positive psychology into the treatment,so as to explore the influence on the overall rehabilitation level of patients.Methods Schizophrenic patients from May to July 2020 in Pinghu Mental Health Center were selected as the research objects,10 in the experimental group and 10 in the control group.The patients in the experimental group received group psychotherapy twice a week,after 3 weeks of structured group psychotherapy,the control group did not do any intervention,using resilience scale[1],self-esteem scale(SES)and inpatient psychiatric rehabilitation efficacy scale(IPROS,the evaluation was conducted by the medical staff who were in charge of the bed),and both the experimental group and the control group were evaluated before and after the last group therapy.Results The total score of self-esteem in the experimental group was significantly higher than that in the control group(P<0.05),the scores of the members in the experimental group after treatment were significantly higher than those before treatment(P<0.001),the resilience scores of the experimental group were significantly higher than those of the control group in self-acceptance,self-efficacy,stability,friend support and family support(P<0.05),in the experimental group,the scores of the above items also increased significantly(P<0.05)before and after the experiment,the score of inpatient psychiatric rehabilitation efficacy rating scale,which was scored by tube bed doctors(nurses),also showed significant difference between the experimental group and the control group before and after treatment(P<0.05),and the score of the experimental group before and after 3 weeks activities was significantly lower than that before treatment.The total score of self-esteem,the score of resilience factors and the score of rehabilitation effect in the experimental group and the control group were significantly different before and after treatment(P<0.05),and the scores of the control group were not significantly different before and after treatment(P>0.05).Conclusion Participating in group therapy of positive psychology can improve the level of social function recovery.
作者
崔月
谢永俭
杨建芳
赵国庆
李六梅
张晓锐
CUI Yue;XIE Yong-jian;YANG Jian-fang;ZHAO Guo-qing;LI Liu-mei;ZHANG Xiao-rui(Pinghu Mental Health Center,Pinghu,Zhejiang 314200)
出处
《智慧健康》
2021年第20期191-196,共6页
Smart Healthcare
基金
平湖市科技局2021年科技计划项目
2021年度平湖市科技计划项目社发类项目-19号
