分阶段奖酬行为疗法对精神分裂症患者康复效果的影响

目的探讨分阶段奖酬行为疗法对精神分裂症患者的康复效果。方法将60例患者按住院先后顺序分为治疗组和对照组各30例。在药物治疗和传统护理的基础上，治疗组参与奖酬行为疗法6个月；对照组接受常规工娱治疗活动，分别于治疗前和治疗6个月后予简明精神病评定量表（BPRS）、精神分裂症阳性症状量表（SAPS）、阴性症状量表（SANS）和住院精神患者康复疗效评定量表（IPROS）评判患者社会功能方面的缺陷程度、病情缓解程度和康复疗效。结果治疗组BPRS、IPROS总均分低于对照组，两组比较差异有统计学意义[（8．81±6．41）分比（11．10±8．5）分，（19．15±14．11）分比（31．14±16．10）分；t分别为3．18，7．61；P〈0．01]。治疗组精神分裂症SAPS、SANS评分低于对照组，两组比较差异具有统计学意义[（7．31±1．51）分比（10．16±2．10）分，（12．32士2．16）分比（15．65±1．48）分；t分别为3．62，3．12；P〈0．01]。结论奖酬行为疗法有利于减轻精神分裂症患者部分精神症状，提高自理能力，防止延缓衰退，早日恢复精神功能。

Effect of phased reward behavior therapy on rehabilitation of patients with chronic schizophrenia

Objective To discuss the effect of phased reward behavior therapy on rehabilitation of patients with chronic schizophrenia.Methods 60 patients were randomly divided into treatment group (30 cases) and control group (30 cases) according to admission time.The treatment group received reward behavior therapy on the basis of drug treatment and traditional nursing care,while the control group received conventional work entertainment treatment activities.Brief Psychiatric Rating Scale (BPRS),Scale for Schizophrenia Positive Symptoms (SAPS),Negative Symptoms Scale (SANS) and the efficacy of inpatient rehabilitation of mental patients rating scale (IPROS)were used to evaluate the deficiency level of social function,degree of remission and rehabilitation of the patients before and 6 months after the treatment.Results The total average score of BPRS and IPROS of the treatment group were lower than the control group and the differences were significant [(8.81 ±6.41) vs (11.10±8.5),(19.15 ±14.11 ) vs (31.14 ± 16.10 ) ;t =3.18,7.61 ;P ＜ 0.01 ].SAPS and SANS scores of the treatment group were lower than the control group,the differences were significant [ (7.31 ± 1.51) vs ( 10.16 ± 2.10),( 12.32 ± 2.16) vs ( 15.65 ±1.48) ;t =3.62,3.12;P＜0.01].Conclusions Reward behavior therapy could help reduce some of the symptoms of chronic schizophrenia,improve self-care ability,prevent deterioration and regain mental function.