阅读疗法对缓解期精神分裂症患者自知力治疗依从性及复发的影响

目的 探讨阅读疗法对缓解期精神分裂症患者自知力恢复、治疗依从性及复发的影响.方法 将120例精神分裂症患者随机分为研究组和对照组各60例.疗程8周,出院后随访1年.采用简明精神病量表(BPRS)、自知力与治疗态度问卷(ITAQ)、治疗依从性、住院天数及复发率评估患者的康复情况.结果 治疗8周后:BPRS量表评分明显低于对照组[(21.55±8.56)分,(24.64±9.45)分];ITAQ评分明显高于对照组[(10.10±4.81)分,(8.49±5.12)分];治疗依从性研究组分别为:完全依从为75.0%,部分依从为20.0%,不依从为5.0%;对照组分别为51.7%、34.5%、13.8%,差异有显著性意义(P<0.01).1年末随访:BPRS量表评分明显低于对照组;ITAQ评分明显高于对照组;治疗依从性研究组分别为:完全依从为63.3%,部分依从为26.7%,不依从为10.0%;对照组分别为36.2%、25.9%、37.9%,差异有显著性(P<0.01).复发率明显低于对照组,差异有显著性(P<0.01);平均住院天数明显短于对照组,分别为(58±7)d和(76±18)d,差异有显著性(P<0.01).结论 阅读疗法不仅有助于精神分裂症患者精神症状的改善、而且能恢复自知力、缩短住院时间、提高治疗依从性和降低复发率.

Effect of bibliotherapy on insight recovering,drug therapy compliance and recurrence in remitted schizophrenia patients

Objective To investigate the effect of the bibliotherapy on insight recovering.drug therapy compliance and recurrence in remitted schizophrenia patients.Method 120 schizophrenia patients were randomly divided into the study group and the control group,with 60 cases in each group.The control group were only treated with drugs and the study group were treated with drugs plus bibliotherapy.Compared after 8 weeks treatment and a one-year follow-up was carried out after their discharge from hospital.The clincal efficacy was evaluated by the-Brief Psychiatric Rating Scale(BPRS),the Insight and Treatment Attitude Questionnaire(ITAQ),drug therapy compliance,hospital day and recurrence.Results After treatment 8 weeks,the scale of BPRS of study group lower than that of control group(21.55±8.56 and 24.64±9.45).and the scale of ITAQ of study group higher than that of control group(10.10±4.81 and 8.49±5.12);compliance of study group was better than that of control group(totally compliance:75%and 51.7%,partly compliance:20.0%and 34.5%,none compliance:5.0%and 13.8%,P＜0.01).At the end of 1 year,the scale of BPRS of study group lower than that of control group;the scale of ITAQ of study group higher than that of control group and compliance of study group was better than that of control group(totally compliance:63.3%and 36.2%,partly compliance:26.7%and 25.9%,none compliance:10.0%and 37.9%,P＜0.01).The recurrence rate of study group was lower than that of control group.The average hospital day of study group was shorter than that of control group[(58±7)d and(76±18)d.P＜0.01].Conclusion Bibliotherapy not only is beneficial to the treatment for schizophrenia patients.but also can makes shorter hospital day,lower of these patients the rate of recurrence.