书画治疗对精神分裂症住院患者生活质量影响探究.doc

书画治疗对精神分裂症住院患者生活质量影响探究 　 作者：郭楚如，陈丽辉，解静，林以环 【摘要】 目的：探讨书画治疗对精神分裂症住院患者的生活质量的影响。方法：将精神分裂症住院患者分成书画治疗组和常规精神科治疗组，分别为24例和42例。书画治疗组除精神科常规治疗外给予8周书画治疗，用GQOLI74评定两组患者的生活质量。 结果：经书画治疗8周后，患者在除住房、社区服务、生活环境和经济状况外的其他16个因子分、躯体功能、心理功能、社会功能三个维度分和总分上，均明显高于书画治疗前（Plt;0.01）；在8周后与常规精神科治疗组比较，除住房、社区服务、生活环境、经济状况4个因子分及物质生活状态维度分外，其他各项得分均高于常规治疗组（Plt;0.01）。结论：书画治疗有利于精神分裂症住院患者的生活质量的提高。 【关键词】 书画治疗；精神分裂症；生活质量 　　Study on Quality of Life of Schizophrenic Inpatients with Painting and Drawing Therapy 　　GUO Churu，CHEN Lihui，XIE Jing，LIN Yihuan 　　(Mental Health Center of Shantou University， Shantou,Guangdong 515063，China) 　　Abstract:Objective To explore the influence of quality of life for schizophrenic inpatients with painting and drawing therapy.Methods 68 schizophrenic inpatients were divided into 2 groups as painting and drawing therapy group and control group. All patients were administered by GQOLI74 before treatment. 24 patients in painting and drawing therapy group were accept painting and drawing therapy and antipsychotic drugs treatment. 42 patients in control only use antipsychotic drugs. After 8 weeks， all patients were measured by GQOLI74 again.Results The results showed the scores of 16 of 20 factors (except factor 1 to 4) and 3 dimensions in painting and drawing therapy group increased very significantly after 8 week’s treatment（Plt;0.01）. The scores of 17 of 20 factors (except factor 1， factor 2 and factor 4) and 3 dimensions in painting and drawing therapy group were significantly higher than that in control group（Plt;0.01）.Conclusion Painting and drawing therapy is more useful for the quality of life of schizophrenic inpatients. 　　Key words:Painting and drawing therapy;Schizophrenia;Quality of life 　　绘画是人们最适宜的心灵表达方法，人们可以运用绘画将自已的经验与感受、象征性或具体地展现在图画当中，以作为一种陈述、回顾与整理；同时，在自由挥洒的过程中，也是一种抒发、宣泄与成就［1］。书法是我国一种传统的艺术形式，有研究显示：书法对人体有生理和心理两方面的作用，在生理上可使心率和呼吸频率减慢，降低血压、扩张脑血管和EEG频率增快等；心理上能使患者愉快、轻松、清静和注意力集中［2］。我院为半开放式管理的现代精神病院，办院以来一直在院内开展了工作治疗、手工治疗、体育治疗、音乐治疗、书画治疗等多项康复治疗项目，丰富了住院患者的院内生活，为他们精神功能恢复，回归社会奠定基础