认知训练对老年慢性精神分裂症患者认知功能的影响

发布时间：2018-01-30 05:50

本文关键词： 慢性精神分裂症认知功能认知训练　出处：《中国老年学杂志》2014年10期 　论文类型：期刊论文

【摘要】：目的探讨认知训练对老年精神分裂症患者认知功能的影响。方法 70例老年精神分裂症患者随机分为对照组(34例)和实验组(36例)两组,对照组不予干预,实验组进行12 w的认知训练,于训练前、训练12、24 w末用简易智力量表(MMSE)和威斯康星卡片分类测验(WCST)评价认知功能,并进行训练前后组内和组间的比较。结果①训练前后组内比较:实验组训练后12、24 w末的MMSE总分和WCST因子显著优于训练前的基线值,对照组12、24 w末的MMSE总分高于基线值,WCST则无明显变化;实验组训练后24 w末的MMSE总分及WCST各因子得分优于12 w末;对照组24 w末的MMSE总分高于12 w末,第一分类数低于12 w末。②干预后组间比较:12 w末两组间的MMSE之间有差异,24 w末的MMSE和WCST两组间均有差异。结论认知训练能有效改善老年精神分裂症患者的认知功能,且认知训练的远期效果会更好。
[Abstract]:Objective to investigate the effect of cognitive training on cognitive function of senile schizophrenic patients. Methods 70 senile schizophrenic patients were randomly divided into two groups: control group (n = 34) and experimental group (n = 36). The control group did not intervene, the experimental group received cognitive training for 12 weeks, and before training, 12. At the end of 24 weeks, cognitive function was evaluated by MMSE and WCST. Results 1 comparison between groups before and after training: the total score of MMSE and WCST factor of experimental group at the end of 1224 weeks after training were significantly better than baseline value before and after training. The total score of MMSE in the control group was higher than that in the baseline at the end of 1224 weeks. The total score of MMSE and the score of each factor of WCST in the experimental group were better than those at the end of 12 weeks after training. In the control group, the total score of MMSE at the end of 24 weeks was higher than that at the end of 12 weeks, and the number of the first classification was lower than that of the two groups after intervention at the end of 12 weeks. There was a difference in MMSE between the two groups at the end of 12 weeks. Conclusion Cognitive training can effectively improve the cognitive function of senile schizophrenia patients, and the long-term effect of cognitive training will be better.
【作者单位】：皖南医学院心理学教研室;芜湖市第四人民医院精神科;
【基金】：2012年度皖南医学院重点科研项目培育基金(No.WK2012Z04)
【分类号】：R749.3
【正文快照】： 研究表明,认知功能损害是精神分裂症的核心症状之一,且患者的长期预后和社会功能均主要取决于认知受损的程度〔1〕。因此,改善精神分裂症患者的认知功能已成为治疗的目标之一。老年精神分裂症的认知功能损害缺乏特异性的治疗手段,严重影响了患者的社会功能及生活质量,给家庭和

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