四川精神卫生2024，Vol.37Issue(2)：114-119,6.DOI:10.11886/scjsws20230530002
精神运动康复对住院青壮年精神分裂症患者康复的效果
Rehabilitation effects of psychomotor therapy on young and middle-aged schizophrenic inpatients
摘要
Abstract
Background Rehabilitation for schizophrenia typically relies on pharmacological interventions,yet their efficacy in improving social function and quality of life remains limited.In recent years,non-pharmacological approaches have shown promise in enhancing rehabilitation outcomes.However,research on the effectiveness of psychomotor therapy specifically for young and middle-aged schizophrenic inpatients is limited.Objective To explore the effects of psychomotor therapy on the rehabilitation of young and middle-aged schizophrenic inpatients,and to provide a reference for treatment strategies.Methods A total of 104 young and middle-aged schizophrenic inpatients who met the International Classification of Diseases,tenth edition(ICD-10)diagnostic criteria and hospitalized in the Fourth People's Hospital of Wuhu from June 2021 to June 2022 were selected.Patients were randomly divided into two groups of 52 each using random number table method.Both groups received treatment with risperidone tablets(2～4 mg/d),along with routine nursing care.Additionally,the research group received an extra 45～55 minutes of psychomotor therapy 2～3 times per week for 12 weeks.The control group received the same psychomotor therapy after the study.Positive and Negative Symptom Scale(PANSS),Scales of Social-skills for Psychiatric Inpatient(SSPI)and Insight and Treatment Attitude Questionnaire(ITAQ)were used to assess the patients before the intervention and at 4th,8th and 12th week after the intervention.Results The main effects of intervention at different time points for PANSS positive symptoms,negative symptoms and general psychopathology subscale scores,PANSS total score,SSPI score and ITAQ score were all statistically significant(F=33.989,204.245,82.817,279.596,26.144,7.463,P<0.01).Furthermore,statistically significant between-group differences were observed in PANSS negative symptoms and general psychopathology subscale scores,PANSS total score,SSPI score and ITAQ score(F=30.053,5.306,33.417,33.013,18.608,P<0.05 or 0.01).Moreover,the interaction effect of time and group were statistically significant for PANSS positive symptoms,negative symptoms and general psychopathology subscale score,PANSS total score and SSPI score(F=3.472,9.798,3.843,14.390,20.661,P<0.05 or 0.01).After 12 weeks of intervention,the research group exhibited statistically significantly lower PANSS total score and subscale scores compared with baseline(P<0.01),while their SSPI total score was significantly higher than that of control group(P<0.01).Additionally,compared with the control group,the research group had statistically significantly lower PANSS total score and subscale scores,while their SSPI score was statistically significantly higher than those of control group(P<0.01).Conclusion Psychomotor therapy may contribute to the improvement of the psychiatric symptoms and social function in young and middle-aged inpatients with schizophrenia,enhancing their rehabilitation outcomes.关键词
精神运动康复/精神分裂症/阴性症状/阳性症状/社会功能Key words
Psychomotor therapy/Schizophrenia/Negative symptoms/Positive symptoms/Social function分类
临床医学引用本文复制引用
李海云,明亮,王道金,朱文礼,吴秀梅,潘园,江婷婷..精神运动康复对住院青壮年精神分裂症患者康复的效果[J].四川精神卫生,2024,37(2):114-119,6.基金项目
芜湖市卫健委科研项目(项目名称:精神运动康复技术在青壮年精神分裂症中运用研究,项目编号,WHWJ2021y073) Funded by Health Commission Scientific Research Project of Wuhu(number,WHWJ2021y073) （项目名称:精神运动康复技术在青壮年精神分裂症中运用研究,项目编号,WHWJ2021y073）
