奥尔夫音乐疗法对精神分裂症长期住院患者干预研究
An intervention study of Orff-music therapy for long-term hospitalized patients with schizophrenia
王天乐 1李日照 2黄啟洋 2刘大明 2夏达凯 2冯婷 2伊尔夏提·阿肉甫江 2伍洁怡 2孙彬 3郑欣燕 2戴迎春4
作者信息
- 1. 南方医科大学公共卫生医院(广州 510515);广州医科大学附属脑科医院康复科
- 2. 广州医科大学附属脑科医院康复科
- 3. 广州医科大学附属脑科医院研究所
- 4. 南方医科大学公共卫生医院(广州 510515)
- 折叠
摘要
目的 探究对精神分裂症长期住院患者进行奥尔夫音乐治疗是否有促进康复的效果.方法 在2023年4月至2023年9月开展随机、单盲、对照试验,纳入68例长期住院精神分裂症患者,随机分为研究组和对照组,每组各34例.研究组在维持原有药物、常规康复治疗基础上增加奥尔夫音乐治疗,对照组仅维持原有药物和常规康复治疗,干预8周.在基线和干预后,对两组患者分别进行阳性与阴性症状量表(positive and negative syndrome scale,PANSS)、住院精神病人康复疗效评定量表(inpatient psychosis rehabilitation observe scale,IPROS)、个人和社会功能量表(personal and social performance scale,PSP)评估.结果 在治疗前,两组PANSS、IPROS、PSP得分对比未见统计学差异(均P>0.05).干预8周后,PANSS量表显示:研究组治疗前后的评分差值在阴性症状(-3.20±4.13 vs.-0.17±2.43,P<0.001)、一般症状(-2.79±3.83 vs.-0.17±2.99,P=0.003)、总分(-5.88±6.36 vs.0.00±4.08,P<0.001)指标上优于对照组,而在阳性症状上的差异无统计学意义(P>0.05).IPROS量表显示:研究组患者在参与工疗情况(-0.82±2.08 vs.0.23±2.10,P=0.041)、社交能力(-0.59±1.94 vs.0.53±1.69,P=0.014)和生活能力(-0.94±2.50 vs.0.15±1.48,P=0.033)方面,干预前后的评分差值与对照组比较差异有统计学意义.PSP量表表明:研究组治疗前后的评分差值在社会活动[0(-1,0)vs.0(0,0),P=0.011]、自我照料[0(-1,0)vs.0(-0.25,0),P=0.012]上优于对照组.结论 对于长期住院的精神分裂症患者,奥尔夫音乐疗法能有效缓解精神症状、促进社会功能、提升康复疗效.
Abstract
Objective This research aims to investigate the impact of Orff music therapy on long-term schizophrenic patients in hospitals.Methods The study was a randomized,single-blind controlled trial conducted from April,2023 to September,2023.From April to September 2023,sixty-eight individuals diagnosed with persistent schizophrenia were enrolled and evenly distributed into a pair of cohorts:a treatment group of thirty-four people receiving the intervention,and an equal number forming the control group for comparative purposes.Individuals enrolled in the experimental arm of the study were administered Orff-music therapy alongside routine rehabilitation treatment across a span of two months.For a period of 8 weeks,the control group was given only standard rehabilitation treatment,whereas the research group underwent Orff-music therapy in addition to the standard rehabilitation treatment.Results Before treatment,there were no significant differences in the positive and negative symptoms scale(PANSS),the inpatient psychosis rehabilitation observe scale(IPROS)and the personal and social performance scale(psp)between two groups.After intervention,the PANSS showed that the changes were better in the study group than in the control group in 3 indicators:negative symptoms(-3.20±4.13 vs.-0.17±2.43,P<0.001),general symptoms(-2.79±3.83 vs.-0.17±2.99,P=0.003)and the total scores(-5.88±6.36 vs.0.00±4.08,P<0.001),but not in positive symptoms(P>0.05).The IPROS showed that the performances of patients in the study group were better than the control group in terms of participation in work therapy(-0.82±2.08 vs.0.23±2.10,P=0.041),socialization(-0.59±1.94 vs.0.53±1.69,P=0.014)and ability to live(-0.94±2.50 vs.0.15±1.48,P=0.033),the changes in scores before and after the intervention were significantly different when compared to the control group.The PSP showed that the changes in scores before and after the treatment of the study group was better than the control group in terms of social activity[0(-1,0)vs.0(0,0),P=0.011],and self-care[0(-1,0)vs.0(-0.25,0),P=0.012]were better than the control group.Conclusion For long-term hospitalized patients with chronic schizophrenia.Orff-music therapy can be a powerful tool for alleviating mental issues,fostering social functioning,and enhancing rehabilitation results.
关键词
精神分裂症/奥尔夫音乐/音乐治疗/精神康复/精神状态/社会功能/长期住院患者Key words
Schizophrenia/Orff-Music/Music therapy/Mental rehabilitation/Mental status/Social function/Long-term hospitalized patients引用本文复制引用
基金项目
广州市荔湾区科技计划(202201003)
出版年
2024
NETL
NSTL
万方数据