社会心理干预合Quisi对精神分裂症患者睡眠质量的影响

Effect of psychosocial intervention combined with Quisi on sleep quality of schizophrenic patients

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2024, 51(2)
作者
作者单位

上海市金山区精神卫生中心 ;
上海市静安区精神卫生中心功能科 ;
上海市精神卫生中心 ;

摘要
目 的 探讨社会心理干预(social psychic intervention ,SPI)和睡眠脑电QUISI诊疗新技术联合应用对精神分裂症患者睡眠的影响。 方 法 招募148例精神分裂症住院患者,应用随机数字表法,分成试验组和临床组各74例,试验组采用SPI(“二干一护一康”新方案)和临床组采用普通支持,疗效评估者盲法,QUISI对精神分裂症睡眠改善进行监测。结 果 作者发现(1)采用SPI后,试验组的精神症状自评量表(symptom checklist 90,SCL-90)的减分显著高于临床组 (P<0.05)。(试验组0.7±0.2分,临床组0.4±0.1分,t=3.94,P=0.002)(2)采用SPI后,试验组的简明精神病评定量表(brief psychiatric rating scale,BPRS)减分显著高于临床组;试验组自知力与社会功能缺陷测定(social disability screening schedule ,SDSS)治疗依从性问卷增分高于临床组(P<0.05-0.01)。(BPRS试验组29.1±6.8分,临床组18.9±5.8分,t=6.73,<0.001。SDSS试验组6.7±2.7分,临床组4.1±2.2分,t=3.21,P=0.003)。(3)试验组随着康复,QUISI检测中的主要指标醒觉时间、觉睡比和睡眠效率也随着改善(睡眠效率干预前85.1±8.8%,干预3个月95.4±3.1%,t=5.1001,P<0.001) 结 论 作者认为(1)SPI疏导能够有效缓解精神分裂症患者的负面情绪和改善睡眠,进一步促进患者临床症状的恢复。(2)QUISI提示,此诊疗新技术可用于精神分裂症康复中的睡眠测评,在精神科康复中有推广应用价值。
Abstract
Objective To explore the effect of social psychological intervention (SPI) nursing and new technology of sleep EEG QUISI diagnosis and treatment on the sleep of schizophrenic patients. Methods 148 schizophrenic inpatients were recruited and divided into test group and control group with 74 cases each by random number table. The test group was given SPI care and the control group was given general support. The efficacy evaluator was blind. QUISI monitored the sleep improvement of schizophrenia. Results (1) After using SPI, the scores of SCL-90 in the test group were significantly higher than those in the control group (P<0.05,). (0.7 ± 0.2 points in the test group, 0.4 ± 0.1 points in the control group, t=3.94, P=0.002) (2) After the use of SPI, the scores of BPRS in the test group were significantly higher than those in the control group; The scores of insights and social dysfunction test (SDSS) in the test group were higher than those in the control group (P<0.05-0.01). (BPRS test group scored 29.1 ± 6.8 points, control group 18.9 ± 5.8 points, t=6.73, <0.001. SDSS test group scored 6.7 ± 2.7 points, control group 4.1 ± 2.2 points, t=3.21, P=0.003). (3) With the rehabilitation of the test group, the main indicators of QUISI detection, such as awakening time, sleep to sleep ratio and sleep efficiency, also improved (sleep efficiency 85.1 ± 8.8% before intervention, 95.4±3.1% after three months of intervention, t=5.1001, P<0.001) Conclusion (1) SPI intervention for schizophrenia patients is beneficial to the rehabilitation of symptoms and social functions of patients. (2) QUISI suggests that this new diagnosis and treatment technology can be used for sleep assessment in the rehabilitation of schizophrenia and has the value of promotion and application in the rehabilitation and nursing of psychiatric department.
关键词
社会心理干预;QUISI;精神分裂症;;康复干预
KeyWord
Social Psychic Intervention; QUISI; Schizophrenia; Rehabilitation intervention.
基金项目
页码 394-397
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孟召海,侯国权,周绍宇,许全民,牛玉娥,吕坚*,唐琳,陈冲,王彩侠. 社会心理干预合Quisi对精神分裂症患者睡眠质量的影响 [J]. 国际精神病学杂志. 2024; 51; (2). 394 - 397.

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