| 牛丹丹,陈玉明,庄晓伟,陈艳,黄恬蕊,王亮.基于认知行为治疗理论的在线随访干预对社区精神分裂症患者的康复效果[J].中国康复,2023,38(2):124-128 |
| 基于认知行为治疗理论的在线随访干预对社区精神分裂症患者的康复效果 |
| Rehabilitation effect of online follow-up intervention based on cognitive behavioral therapy theory for schizophrenic patients in community |
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| DOI： |
| 中文关键词: 认知行为治疗 在线随访干预 精神分裂症 服药依从性 社会支持 自尊 |
| 英文关键词: cognitive behavioral therapy online follow-up intervention schizophrenia medication compliance social support self-esteem |
| 基金项目:2020年上海市静安区科委科研项目（2020GW03） |
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| 中文摘要: |
| 目的：探讨基于认知行为治疗理论的在线随访干预对社区精神分裂症患者精神症状、服药依从性、社会支持、自尊的影响。方法：将上海市某区社区精神分裂症患者150例，随机分成干预组及对照组各75例。对照组由社区精防医师进行随访，干预组由精神科医师通过微信、QQ等社交媒体进行基于认知行为治疗理论的在线随访。用阳性与阴性症状量表(PANSS)评定精神症状严重程度，分别用医学依从性评定量表（MARS）、社会支持评定量表(SSRS)及Rosenberg自尊量表（RSES）评估患者的服药依从性、社会支持、自尊与个人评价等社会心理层面的康复效果。结果：干预24周后，干预组PANSS评分低于干预前（P<0.01），MARS1-4项评分、SSRS评分、RSES评分高于干预前（P<0.01）。干预24周后，干预组PANSS评分低于对照组（P<0.01），MARS1-4项评分、SSRS评分、RSES评分高于对照组(均P<0.01），干预组服药依从性好的患者比例高于对照组（P<0.05）。结论：基于认知行为治疗理论的在线随访干预有助于减轻精神分裂症患者的精神症状、提高服药依从性、提升社会支持和自尊水平，值得在社区中推广。 |
| 英文摘要: |
| Objective: To investigate the effect of online follow-up intervention based on cognitive behavioral therapy theory on psychiatric symptoms, medication compliance, social support, self-esteem of schizophrenics in community. Methods: A total of 150 patients with schizophrenia in community in Shanghai were randomly divided into intervention group and control group with 75 cases each. The control group was followed up by community prevention physicians, and the intervention group was followed up by psychiatrists through WeChat or QQ and other media based on cognitive behavioral therapy theory. Positive and negative syndrome scale (PANSS) was used to evaluate the severity of psychiatric symptoms. Medical compliance Rating Scale (MARS), Social support Rating Scale (SSRS) and Rosenberg Self-esteem Scale (RSES) were used to evaluate the rehabilitation effect of patients in social psychological aspects such as medication compliance, social support, self-esteem and personal evaluation. Results: After 24 weeks of intervention, the PANSS score in the intervention group was lower than that before intervention (P<0.01), and the MARS1-4 score, SSRS score and RSES score were higher than those before intervention (P<0.01).After 24 weeks of intervention, the PANSS score in the intervention group was lower (P<0.01), the MARS1-4 score, SSRS score and RSES score were higher (all P<0.01), and the proportion of patients with good medication compliance was higher than that in the control group (P<0.05).Conclusion: Online follow-up interventions based on the theory of cognitive behavioral therapy can reduce the psychiatric symptoms of schizophrenia patients, improve medication compliance, improve social support and self-esteem, and deserve to be promoted in the community. |
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