摘要
目的探讨动机访谈(MI)认知行为干预对首发精神分裂症患者康复的影响。方法将94例首发精神分裂症患者随机分为干预组和对照组。对照组给予常规康复护理,干预组在此基础上给予MI认知行为干预。两组患者在干预前后分别采用IPROS、SANS、ADL量表进行康复效果评价。结果干预组在干预后IPROS、SANS总分与干预前和对照组比较显著降低(P<0.05),ADL总分与干预前和对照组比较显著上升(P<0.05),对照组干预前后IPROS、SANS、ADL总分差异无统计学意义(P>0.05)。结论MI认知行为干预对于改善首发精神分裂症患者的阴性症状,促进患者自理能力恢复,防止和恢复社会功能障碍具有良好作用。
Objective To investigate the effect of motivational interviewing （MI） cognitive-behavioral intervention for first-episode schizophrenic patients. Methods 94 cases of first-episode schizophrenic patients were randomly divided into intervention group and control group, the control group was given the conventional rehabilitation care, on the basis of control group the intervention group was given MI cognitive-behavioral intervention. The patients of two groups before and after intervention were evaluated the rehabilitation by IPROS, SANS and ADL. Results After intervention the intervention group＇ s IPROS,SANS scores was significant reduction compared with pre-intervention and control group （ P 〈 0. 05 ） , ADL scores was significant increasing compared with pre-intervention and control group （ P 〈 0. 05 ） , before and after intervention the control group＇ s IPROS, SANS and ADL score was no significant difference （ P 〉 0. 05 ）. Conclusion It has a good role for MI cognitive-behavioral intervention to improve the negative symptoms of first-episode schizophrenic patients, promote the restoration of self-care ability and to prevent and restore the community dysfunction of patients.
出处
《中国实用医药》
2009年第21期91-92,共2页
China Practical Medicine
关键词
动机访谈
认知行为干预
首发精神分裂症
康复
Motivational interviewing
Cognitive-behavioral intervention
First-episode schizophrenic
Rehabilitation
