心理剧疗法在慢性精神分裂症长期住院患者康复训练中的应用
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女,本科,副主任护师

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南京市卫生科技发展项目(YKK23252)


Application of psychodrama therapy in rehabilitation training for long-term hospitalized patients with chronic schizophrenia
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    摘要:

    目的 探讨心理剧疗法在慢性精神分裂症长期住院患者康复训练中的应用效果,为构建慢性精神分裂症长期住院患者康复训练干预方案提供参考。方法 采用便利抽样法,于2024年3-9月选取连续住院5年以上的慢性精神分裂症患者80例,采用随机数字表法分为对照组和干预组各40例。对照组实施精神科常规康复训练活动,干预组在此基础上实施心理剧疗法。比较两组患者在干预前后阳性与阴性症状量表得分、住院精神病患者社会功能评定量表得分。结果 干预后,干预组阳性与阴性症状量表总分及各分量表得分显著低于对照组,住院精神病患者社会功能评定量表总分及各维度得分显著高于对照组(均P<0.05)。结论 心理剧疗法能够促进慢性精神分裂症长期住院患者精神症状的改善,提升其社会功能。

    Abstract:

    Objective To explore the application effect of psychodrama therapy in the rehabilitation training for long-term hospitalized patients with chronic schizophrenia, and to provide reference for the construction of rehabilitation training intervention programs for long-term hospitalized patients with chronic schizophrenia. Methods Using the convenience sampling method, 80 patients with chronic schizophrenia who had been continuously hospitalized for more than 5 years were selected from March to September 2024, and then they were randomly divided into a control group and an intervention group, with 40 cases in each. The control group received routine psychiatric rehabilitation training activities, while the intervention group received psychodrama therapy on this basis. The scores of the Positive And Negative Syndrome Scale (PANSS) and the Scale of Social Function for Psychosis Inpatients(SSPI) were compared between the two groups before and after the intervention. Results After the intervention, the total scores and subscale scores of the PANSS in the intervention group were significantly lower than those in the control group, and the total scores and dimension scores of the SSPI were significantly higher than those in the control group (all P<0.05). Conclusion Psychodrama therapy can promote the improvement of mental symptoms in long-term hospitalized patients with chronic schizophrenia and enhance their social functioning.
    Keywords:schizophrenia;psychodrama therapy;long-term

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赵婧婧,王荣,王虎玉,李进,孙华,曹艳,陶梦竹.心理剧疗法在慢性精神分裂症长期住院患者康复训练中的应用[J].护理学杂志,2025,(12):6-11

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  • 收稿日期:2025-01-18
  • 最后修改日期:2025-03-16
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  • 在线发布日期: 2025-07-18