不同健康教育模式对精神分裂症患者认知功能影响.docVIP

不同健康教育模式对精神分裂症患者认知功能影响 　【摘要】 目的 探讨新型健康教育模式对精神分裂症患者认知功能的影响。 方法 将120例首发精神分裂症住院患者随机分为两组各60例，两组在常规药物治疗的基础上，研究组实施新型健康教育模式，对照组采用传统式的健康教育。观察8 w。于健康教育第1 w内及第8 w末采用数字划销测验和威斯康星卡片分类测验评定两组患者的认知功能，并进行对比分析。 结果 两组健康教育第1 w内数字划销测验和威斯康星卡片分类测验各项指标均无显著性差异（P＞0.05）；健康教育8 w末两组数字划销测验净分均较健康教育前显著提高，失误率均显著下降，但研究组净分较对照组提高更显著，失误率较对照组下降更显著（P＜0.01）；威斯康星卡片分类测评，两组总测验次数、持续错误数及随机错误数均减少，正确数及分类数较健康教育前增加，但研究组较对照组改变更为显著（P＜0.01）。 结论 新型健康教育模式能显著提高精神分裂症患者的认知功能，更有助于其认知功能的恢复。 【关键词】 新型健康教育；精神分裂症；认知功能 【Abstract】 Objective To explore effects of neotype health education mode on cognitive function of schizophrenics. Methods 120 firstepisode hospitalized schizophrenics were randomly divided into two groups(each n=60), research group were given routine pharmacotherapy plus neotype health education mode and control group plus traditional health education for 8 weeks. Cognitive functions of two groups were assessed with the Cancellation Test（CT）and the Wisconsin Card Sorting Test（WCST）and contrastive analyses conducted within the 1st week and at the end of the 8th week.Results There were no significant differences in all indices of both the CT and the WCST before health education(Pgt;0.05); at the end of the 8th week, the CT net scores were significantly higher and error rates lower for both groups compared with prehealtheducation, and so were in the research group compared with control group(Plt;0.01); according to the WCST, total trials, perseverative and random errors decreased and correct trails and Categories increased for both groups compared with prehealtheduction,so did in the research group compared with the control group(Plt;0.01). Conclusion The neotype health education mode can significantly improve cognitive function of schizophrenics and is conducive to rehabilitation of cognitive function. 【Keywords】 Neotype health education mode；schizophrenia；cognitive function； 精神分裂症是一种病因不明、预后不良和病残率高的严重精神疾病，至今国内外尚无有效的预防对策［1］。健康教育是一门研究传播保健知识和技术、影响个体和群体行为、消除危险因素、预防疾病和促进健康的科学［2］。以往对精神分裂症患者健康教育的研究多集中在临床疗效、预防复发和服药