摘要
目的探讨行为训练辅以音乐疗法对长期住院慢性精神分裂症患者焦虑情绪的影响。方法回顾性分析2018年3月至2019年3月上海市民政第二精神卫生中心收治的70例慢性精神分裂症患者的临床资料,根据治疗方式的不同分为对照组和观察组,每组35例,两组患者均接受精神分裂症药物氯氮平口服治疗,对照组同时给予行为训练治疗,观察组在对照组的基础上给予音乐治疗,两组患者均接受6个月的治疗。比较两组患者治疗前后的Morningside康复状态量表(MRSS)、简明精神病评定量表(BPRS)、阴性症状评定量表(SANS)、阳性症状评定量表(SAPS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、精神分裂症患者主观生活质量量表(SQLS)评分的变化。结果治疗后,观察组患者的MRSS、BPRS、SANS、SAPS、SAS、SDS等各量表的评分分别为(31.70±3.35)分、(21.75±3.60)分、(27.62±4.29)分、(23.75±3.60)分、(49.37±4.06)分、(43.79±2.24)分,明显低于对照组的(40.16±5.08)分、(30.22±5.48)分、(35.10±6.03)分、(31.63±6.11)分、(57.12±3.92)分、(58.18±2.09)分,差异均具有统计学意义(P<0.05);观察组患者的精神动力、心理承受能力、社会交往、家庭生活评分分别为(39.14±1.58)分、(35.02±1.57)分、(37.20±2.55)分、(39.36±2.31)分,明显高于对照组的(32.31±1.62)分、(29.15±1.63)分、(31.09±2.40)分、(32.01±2.14)分,差异均具有统计学意义(P<0.05)。结论行为训练辅以音乐疗法能有效改善慢性精神分裂患者焦虑情绪和临床症状,改善生活质量,值得推广应用。
Objective To study the effect of behavioral training supplemented with music therapy on anxiety of long-term hospitalized patients with chronic schizophrenia.Methods The clinical data of 70 patients with chronic schizophrenia admitted to the Second Mental Health Center of Shanghai Civil Administration from March 2018 to March 2019 were retrospectively analyzed.According to different treatment methods,they were divided into control group and observation group,with 35 patients in each group.Patients in the two groups all received oral treatment with the schizophrenia drug clozapine.The patients in the control group were given behavior training treatment at the same time,and those in the observation group were given music therapy on the basis of the control group,both for 6 months.Before treatment and 6 months after treatment,changes in the scores of the Morningside Rehabilitation Status Scale(MRSS),Brief Psychiatric Rating Scale(BPRS),Negative Symptom Rating Scale(SANS),Scale for Assessment of Positive Symptoms(SAPS),Self-Rating Anxiety Scale(SAS),Depression Self-Rating Scale(SDS),the Subjective Quality of Life Scale(SQLS)were compared between the two groups.Results After treatment,the scores of MRSS,BPRS,SANS,SAPS,SAS,SDS,and other scales of the observation group were(31.70±3.35)points,(21.75±3.60)points,(27.62±4.29)points,(23.75±3.60)points,(49.37±4.06)points,(43.79±2.24)points,which were significantly lower than(40.16±5.08)points,(30.22±5.48)points,(35.10±6.03)points,(31.63±6.11)points,(57.12±3.92)points,(58.18±2.09)points of the control group(P<0.05);the mental motivation,psychological endurance,social interaction,and family life scores of the observation group were(39.14±1.58)points,(35.02±1.57)points,(37.20±2.55)points,and(39.36±2.31)points,which were significantly higher than(32.31±1.62)points,(29.15±1.63)points,(31.09±2.40)points,(32.01±2.14)points of the control group(P<0.05).Conclusion Behavior training combined with music therapy can effectively improve the anxiety and clinical symptoms of patients with chronic schizophrenia,and improve the quality of life,which is worth promoting and applying.
作者
奚丽华
张红霞
黄惠珍
XI Li-hua;ZHANG Hong-xia;HUANG Hui-zhen(Department of Psychiatry,the Second Mental Health Center of Shanghai Civil Administration,Shanghai 201319,CHINA;Department of Nursing,the Second Mental Health Center of Shanghai Civil Administration,Shanghai 201319,CHINA)
出处
《海南医学》
CAS
2022年第3期328-331,共4页
Hainan Medical Journal
关键词
慢性精神分裂症
行为训练
音乐疗法
焦虑自评量表
抑郁自评量表
Chronic schizophrenia
Behavior training
Music therapy
Self-rating anxiety scale score
Self-rating depression scale score
作者简介
通讯作者:奚丽华,E-mail:979330144@qq.com。
