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帕利哌酮缓释片联合团体心理治疗对精神分裂症的临床疗效

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目的 探究帕利哌酮缓释片联合团体心理治疗对精神分裂症患者的临床治疗效果。方法 选取2021年1月—2022年4月本院收治的58名精神分裂症住院患者作为研究对象,随机分为观察组(n=29)和对照组(n=29)。对照组口服帕利哌酮缓释片进行治疗,观察组在对照组基础上,以2个月为一个疗程周期进行团体心理治疗。接受治疗后,两组均采用阳、阴性症状量表(PANSS)评估患者的精神疾病严重程度,采用个人和社会功能量表(PSP)评估患者的社会功能,采用GQOLI-74调查问卷评估患者的生活质量。结果 治疗后,观察组阳性量表评分、阴性量表评分、PANSS总分较对照组有较大幅度的下降(P<0。05);观察组的PSP评分比同时期的对照组有明显的提高(P<0。05)。两组的GQOLI-74比较分析结果显示,治疗前两组在躯体功能、心理功能和社会功能三个维度上的差异不明显,无统计学意义(P>0。05);治疗后,观察组上述各维度的评分较对照组都有了更显著的提高(P<0。05)。结论 帕利哌酮缓释片联合团体心理治疗较单一帕利哌酮缓释片治疗精神分裂症的效果更好,对患者认知功能、社交功能、服药依从性等都有较好的改善。
Clinical Effect and Influence on Social Function of Schizophrenia of Paliperidone Extended-release Tablets Combined with Group Psychotherapy
Objective To investigate clinical curative effect and influence on social function of schizophrenia patients of paliperidone sustained-release tablets combined with group psychotherapy.Methods The paper chose 58 patients with schizophrenia,and divided them into observation group and control group randomly.Control group was treated with oral sustained-release paliperidone tablets,while observation group with group psychotherapy for treatment course of two months on the basis of drug treatment.After treatment,severity of mental illness was evaluated with Positive and Negative Symptom Scale(PANSS),and social function was evaluated with Personal and Social Function Scale(PSP).Changes in life quality were evaluated with GQOLI-74 survey questionnaireb between two groups.Results After treatment,positive scale,negative scale,and PANSS total scores of observation group decreased more significantly than control group,and difference was statistically significant(P<0.05).Scores of PSP group were significantly higher than control group at the same period,difference was statistically significant.Comparative analysis of the GQOLI-74 scores showed,difference between two groups in three dimensions of physical function,psychological function and social function was not statistically significant.After 2 months of treatment,observation group scores in all dimensions were significantly higher,difference was statistically significant.Conclusion Combination of paliperidone sustained-release tablets and group psychotherapy can achieve better curative effect on schizophrenia than paliperidone sustained-release tablets only,can improve cognitive function,social function,medication compliance and other aspects of patients.

SchizophreniaPaliperidone sustained-release tabletsGroup psychotherapyCurative effectSocial function

黄海燕、于凤玲、周欣欣

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北京市海淀区心理康复医院,北京 100194

精神分裂症 帕利哌酮缓释片 团体心理治疗 疗效 社会功能

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(18)