综合康复培训改善精神分裂症患者服药态度和生活质量

目的:探讨利伯曼精神康复技术联合认知行为治疗(以下简称综合康复培训)对精神分裂症患者的服药态度和生活质量的作用。方法:对曾接受综合康复培训的180例精神分裂症患者应用服药态度问卷(Drug Altitude Inventory,DAI)及精神病人生活质量量表(Schizophrenia Quality of Life Scale,SQLS)在培训前和后(约3周)进行评估。结果:综合康复培训治疗前后比较,DAI分数升高(t=9.875,P0.001),SQLS的3个维度社会心理、动力精力,症状副作用的分数均下降,且差异有统计学意义(t=-5.831,-12.112,-7.373;P0.001)。相关性分析显示,DAI与性别、SQLS各维度改善程度均有显著性相关。结论:综合康复培训能显著地改善精神分裂症患者的生活质量,尤其动力精力及症状副作用,从而进一步改善患者对服用抗精神病药物的态度,促进患者早日回归社会。

Comprehensive Rehabilitation Training for Attitude Toward of Drug Use and Quality of Life in Patients with Schizophrenia:An Observation Study

Objective:To examine the efficacy of Liberman rehabilitation training combined with cognitive behavior therapy(comprehensive rehabilitation training)for attitude toward of drug use and quality of life in patients with schizophrenia.Methods:A total of 180 schizophrenia patients were assessed using Drug Altitude Inventory(DAI)and schizophrenia quality of life scale(SQLS)at the treatment begin and endpoint(about 3 weeks).Results:Compared with the comprehensive rehabilitation training at begin,the DAI total scores increased(t =9.875,P <0.001)and SQLS in-cluding social psychology,dynamic energy,symptoms and adverse reactions had significant reduction(t =-5.831,-12.112,-7.373;P <0.001 ).ADI and gender,as well as between each dimension of SQLS had positive correlation. Conclusion:Comprehensive rehabilitation training can be significantly effective for the improvement of SQLS,espe-cially in dynamic energy,symptoms and adverse reactions,which will further contribute to the improvement of atti-tude toward of drug use in patients with schizophrenia and promote schizophrenia patients return to society as early as possible.