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目的探讨情绪管理训练对精神分裂症患者近期内情感表达及认知功能的影响。方法将70例精神分裂症患者随机分为试验组35例,对照组35例,均接受常规治疗及常规护理干预,在此基础上试验组予以情绪管理训练,观察8周。于训练前后采用伯克利表现力问卷(BEQ)评定情感表达水平,关系变化量表(RCS)评定人际关系状况,社会行为量表(SBS)评定社会行为能力,重复性成套神经心理状态测验(RBANS)评定认知功能状况。结果训练后试验组BEQ、RCS评分均较训练前升高(P<0.001),且显著高于对照组(P<0.001);SBS评分较训练前下降(P<0.001),且显著低于对照组(P<0.001);RBANS的词汇学习、故事记忆、线条角度、图片命名、言语流畅、数字广度、编码、故事回忆及词汇再识测验结果均较训练前提高(P<0.05或0.001),且显著高于对照组(P<0.05或0.001);对照组训练前后BEQ、RCS、SBS评分及RBANS各项测验结果比较均无显著变化(P>0.05)。结论情绪管理训练能提高精神分裂症患者的情感表达水平,改善患者的认知功能,提高人际交往能力和社会行为能力,对促进患者的全面康复具有重要作用。
Objective To investigate the effect of emotional management training on the emotional expression and cognitive function in patients with schizophrenia in the near future. Methods Seventy patients with schizophrenia were randomly divided into experimental group (n = 35) and control group (n = 35). All patients were given routine treatment and routine nursing intervention. On the basis of this, the experimental group was given emotional management training and observed for 8 weeks. Before and after training, the score of emotional expression was assessed by the Berkeley Expression Questionnaire (BEQ), the interpersonal relationship was assessed by the relationship change scale (RCS), the social behavior ability was assessed by the social behavior scale (SBS), the RBANS (Complete Neuropsychological State Test) Assessment of cognitive function. Results The scores of BEQ and RCS in training group were significantly higher than those in training group before training (P <0.001), and were significantly higher than those in control group (P <0.001). SBS scores were lower than those before training (P <0.001) (P <0.001). The results of RBANS in vocabulary learning, story memory, line angle, picture naming, fluent speech, digital breadth, coding, story recall and vocabulary re-recognition test were all improved (P <0.05 or 0.001). The scores of BEQ, RCS and SBS in the control group before and after training and the RBANS results showed no significant change (P> 0.05). Conclusion Emotional management training can improve the emotional expression of schizophrenia patients, improve patients’ cognitive function, improve interpersonal skills and social behavior, and play an important role in promoting the comprehensive rehabilitation of patients.