认知行为干预对首发精神分裂症患者自知力及生活质量的影响.docxVIP

认知行为干预对首发精神分裂症患者自知力及生活质量的影响 　　[摘要]目的探讨认知行为干预对首发精神分裂症患者自知力及生活质量的影响。方法选取2018年1～11月本院收治的首发精神分裂症患者90例，根据随机数字表法分为两组，各45例。对照组予以常规对症治疗，观察组在此基础上采用认知行为干预，比较两组患者自知力、临床症状改善情况、生活质量及复发率。结果与对照组比较，观察组患者自知力及治疗态度问卷（itaq）评分较高，差异有统计学意义（p0.05）;与对照组比较，观察组患者阳性和阴性症状量表（panss）各分量表评分、精神分裂症患者生活质量量表（sqls）各维度评分及复发率均较低，差异有统计学意义（p0.05）。结论实施认知行为干预能明显恢复首发精神分裂症患者自知力，有效缓解临床症状，改善生活质量，减少疾病复发。 　　[关键词]首发精神分裂症;认知行为干预;自知力;生活质量 　　[中图分类号]r749.3[文献标识码]b[文章编号]1673-9701（2020）02-0107-04 　　effectofcognitivebehavioralinterventiononself-knowledgeandqualityoflifeinfirst-episodeschizophreniapatients 　　lisurongwangyihu 　　departmentofpsychiatry，huzhouthirdpeopleshospitalinzhejiangprovince，huzhou313000，china 　　[abstract]objectivetoinvestigatetheeffectofcognitivebehavioralinterventionontheself-knowledgeandqualityoflifeoffirst-episodeschizophreniapatients.methods90patientswithfirst-episodeschizophreniaadmittedinourhospitalfromjanuarytonovember2018wereenrolledinthestudy.accordingtotherandomnumbertablemethod，theyweredividedintotwogroups，with45casesineachgroup.thecontrolgroupreceivedroutinesymptomatictreatment.theobservationgroupreceivedcognitivebehavioralinterventionbasedontheabovetreatment.theself-knowledge，improvementofclinicalsymptoms，qualityoflifeandrecurrenceratebetweenthetwogroupswerecompared.resultscomparedwiththoseofthecontrolgroup，thescoresoftheself-knowledgeandtreatmentattitudequestionnaire（itaq）intheobservationgroupwerehigher，andthedifferenceswerestatisticallysignificant（p0.05）.comparedwiththoseofthecontrolgroup，thescoresofthepositiveandnegativesymptomscales（panss），theeachdimensionscoreofthequalityoflifeoftheschizophreniapatients（sqls）andrecurrencerateoftheobservationgroupwerelower，andthedifferenceswerestatisticallysignificant（p0.05）.conclusiontheimplementationofcognitivebehavioralinterventioncansignificantlyrestoretheself-knowledgeoffirst-episodeschizophreniapatients，effectivelyalleviateclinicalsymptoms，improvequalityoflife，andreducediseaserecurrence. 　　[keywords]first-episodeschi