综合康复培训改善精神分裂症患者服药态度和生活质量 |
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引用本文: | 邓利章,陆晓丹,谭就维,邝仕源,黄嘉威,邵辉,宁玉萍,郑伟. 综合康复培训改善精神分裂症患者服药态度和生活质量[J]. 中国健康心理学杂志, 2017, 25(9). DOI: 10.13342/j.cnki.cjhp.2017.09.007 |
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作者姓名: | 邓利章 陆晓丹 谭就维 邝仕源 黄嘉威 邵辉 宁玉萍 郑伟 |
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作者单位: | 中国.广州市医科大学附属脑科医院(广东省广州市惠爱医院) 510370 |
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基金项目: | 广州市医药卫生科技项目 |
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摘 要: | 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。
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关 键 词: | 综合康复培训 精神分裂症 生活质量 服药态度 |
Comprehensive Rehabilitation Training for Attitude Toward of Drug Use and Quality of Life in Patients with Schizophrenia:An Observation Study |
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Abstract: | 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. |
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Keywords: | Comprehensive rehabilitation training Schizophrenia Quality of life Medication attitude |
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