魏嘉.生物反馈疗法联合叙事干预对精神分裂症患者康复的影响[J].上海护理,2025,25(1):
生物反馈疗法联合叙事干预对精神分裂症患者康复的影响
The impact of biofeedback therapy combined with narrative intervention on the rehabilitation of patients with schizophrenia
投稿时间:2024-01-03  修订日期:2024-11-26
DOI:
中文关键词:  精神分裂症  生物反馈疗法  叙事干预  社会功能
英文关键词:Schizophrenia  Biofeedback therapy  Narrative intervention  Social function
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作者单位E-mail
魏嘉* 江西省精神病院 jzhj11@sina.com 
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中文摘要:
      目的? 分析生物反馈疗法联合叙事干预对精神分裂症患者康复的影响。方法? 将2022年1月至2023年8月于医院精神科住院治疗的100例精神分裂患者的作为本次研究对象,采用随机单盲法将患者分为研究组(n=50)与对照组(n=50)。对照组接受生物反馈疗法干预,研究组在对照组基础上接受叙事干预,均干预12周。比较两组临床症状[阳性和阴性症状量表(PANSS)]、社会功能[住院精神病人社会功能评定量(SSPI)]与认知功能[威斯康星卡片分类测试(WCST)]情况。结果? 干预后,研究组PANSS中阳性症状评分、阴性症状评分、一般精神症状评分及总分均低于对照组,SSPI中日常生活能力评分、运动和交往情况评分、社会性活动技能评分及总分均高于对照组,WCST中持续错误次数、非持续错误次数均低于对照组,正确反应次数、概念化水平百分数均高于对照组(P<0.05)。结论? 生物反馈疗法联合叙事干预应用于稳定期精神分裂症患者中可缓解其临床症状,提高认知功能与社会功能。
英文摘要:
      Objective: To analyze the impact of biofeedback therapy combined with narrative intervention on the rehabilitation of patients with schizophrenia. Method: A total of 100 schizophrenia patients who were hospitalized in the hospital"s psychiatric department from January 2022 to August 2023 were selected as the study subjects. The patients were randomly divided into a study group (n=50) and a control group (n=50) using a single blind method. The control group received biofeedback therapy intervention, while the study group received narrative intervention on the basis of the control group, with both interventions lasting for 12 weeks. The clinical symptoms [Positive and Negative Symptom Scale (PANSS)], social function [Social Function Inventory (SSPI) for hospitalized psychiatric patients], and cognitive function [Wisconsin Card Sorting Test (WCST)] were compared between two groups. Results After the intervention, the positive symptom score, negative symptom score, general psychiatric symptom score, and total score in the PANSS study group were all lower than those in the control group. The daily living ability score, exercise and communication situation score, social activity skill score, and total score in SSPI were all higher than those in the control group. The number of sustained and non sustained errors in WCST was lower than that in the control group, and the number of correct reactions was also lower The percentage of conceptualization level was higher than that of the control group (P<0.05). Conclusion: The combination of biofeedback therapy and narrative intervention can alleviate clinical symptoms and improve cognitive and social functions in patients with stable schizophrenia.
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