家庭心理干预对精神分裂症患者自知力及复发的影响

目的:探讨家庭心理干预对精神分裂症(SZ)患者自知力的影响,并观察患者的复发情况,为未来SZ家庭干预计划的合理制定提供一定的指导。方法:回顾性分析2017年1月-2017年12月、2018年1月-2018年12月在我院完成治疗及随访的68例、64例SZ患者的临床资料,分别将其设为对照组(常规药物治疗)及观察组(药物治疗基础上联合家庭心理干预)。干预3个月后,评估两组干预效果。于干预前、干预3个月后采用住院精神病人社会功能评定量表(SSPI)、贝克认知自知力量表(BCIS)分别评估两组社会功能、自知力。全部患者均获得1年随访,记录并比较两组复发率。对两组患者的生活质量评分进行评估对比。结果:观察组干预总有效率为95.31%,高于对照组的83.82%,且观察组复发率(3.13%)低于对照组(13.24%),差异均有统计学意义(P0.05)。干预3个月后,观察组SSPI评分、BCIS各因子评分较对照组更优,差异有统计学意义(P0.05)。观察组干预3个月后患者的生活质量综合评定问卷-74(GQOLI-74)的各项评分包括物质生活、心理健康、躯体健康、社交功能评分均高于对照组患者相应评分,组间对比差异有统计学意义(P0.05)。结论:给予SZ患者家庭心理干预,可提高治疗效果及患者的自知力,有利于改善患者的社会功能,降低复发率,提高患者的生活质量,应用价值较高,可进一步在临床推广应用。

The Effect of Family Psychological Intervention on Self-perception and Recurrence of Patients with Schizophrenia

ABSTRACT Objective: To explore the influence of family psychological intervention on insight of patients with schizophrenia (SZ), and observe the recurrence of patients, so as to provide certain guidance for the reasonable formulation of family intervention plan in the future. Methods: The clinical data of 68 and 64 schizophrenic patients who completed treatment and follow-up in our hospital from January 2017 to December 2017, January 2018 to December 2018 were retrospectively analyzed, which were set as control group (given conventional drug treatment) and observation group (combined with family psychological intervention on the basis of drug treatment). intervention for 3 months, the effect of intervention in the two groups were evaluated. the social function and self-perception of the two groups before the intervention and after 3 months of intervention were evaluated by the inpatient mental function social function evaluation scale (SSPI) and Baker Cognitive Self-knowledge Power Scale (BCIS). All patients were followed up for 1 year, the recurrence rates of the two groups were recorded and compared. The quality of life scores of the two groups were evaluated and compared. Results: The total effective rate of intervention in the observation group was 95.31%, which was higher than 83.82% in the control group, the observation group recurrence rate was (3.13%), which was lower than the control group''s (13.24%), the differences were statistically significant (P<0.05). After 3 months of intervention, the SSPI score and BCIS comprehensive index in observation group were higher than the control group, the differences were statistically significant (P<0.05). After 3 months of intervention, the scores of -74 (GQOLI-74) including material life, mental health, physical health and social function score were higher than those of the control group. The difference between the two groups was statistically significant (P<0.05). Conclusion: Family psychological intervention for SZ patients can improve the treatment effect and insight of patients, improve the social function of patients, reduce the recurrence rate, and improve the quality of life of patients. It has high application value and can be further applied in clinical practice.