范喜英++张玲++苏丽英++覃金荣++蒋春雷++吴月婵++平梦娴++廖海岑

【摘要】目的探讨改良森田疗法和康复技能训练对精神分裂症患者远期治疗效果的影响，为稳定精神分裂症患者病情，促进全面康复提供更为有效或更理想的方法。

方法按纳入标准选择住院的精神分裂症患者200例，按随机数字表法分为实验组和对照组各100例，实验组进行改良森田疗法和康复技能训练结合治疗，对照组按常规治疗及护理，采用护士用住院病人观察量表（NOSIE）、社会功能缺陷筛选量表（SDSS）、日常生活能力量表（ADL）评价治疗效果，比较两组治疗前后的远期（1年）效果差异。

结果实验组及对照组在NOSIE的总积极因素、SDSS、ADL的评分结果差异有统计学意义（P<0.05）。

结论改良森田疗法与康复技能训练相结合，能有效改善患者的自我和谐，提高社会兴趣和生活质量，对精神分裂症患者的远期治疗效果具有明显的积极作用，能更好地促进患者全面康复。

【关键词】改良森田疗法；精神分裂症；远期效果；康复技能

中图分类号：R749.3047文献标识码：ADOI：10.3969/j.issn.10031383.2017.05.008

Effects of improved Morita therapy and rehabilitation skills training onlongterm treatment of schizophrenic patients

[HJ2][HJ]

FAN Xiying，ZHANG Ling▲，SU Liying，QIN Jinrong，JIANG Chunlei，WU Yuechan，PING Mengxian，LIAO Haicen

（Department of Psychology，The Fifth Peoples Hospital of Nanning，Nanning 530001，China）

[HJ2][HJ]

【Abstract】ObjectiveTo explore the effect of improved Morita therapy and rehabilitation skill training on the longterm treatment of schizophrenic patients，and to provide a more effective or ideal way for patients with schizophrenia to maintain stable disease and promote comprehensive rehabilitation.

MethodsAccording to the inclusion criteria，200 patients with schizophrenia were randomly divided into experimental group and control group（100 cases in each group）.The experimental group were treated with Morita therapy and rehabilitation skill training.The control group were given routine treatment and care.Nursesobservation scale for inpatient evaluation（NOSIE），social disability screening schedule（SDSS）and activity of daily living scale（ADL）were used to observe the effect of modified Morita therapy on schizophrenia，and difference of the longterm（1 year） effect between the two groups before and after treatment was compared.

ResultsThere was statistically significant difference in total positive factors of NOSIE and the scores of SDSS and ADL between the experimental group and the control group（P<0.05）.

ConclusionImproved Morita therapy combined with rehabilitation skills training can effectively improve the patients selfharmony，and improve social interest and the quality of life.It has a positive effect on longterm effect of patients with schizophrenia，which can better promote the comprehensive rehabilitation of patients.

【Key words】improved Morita therapy；schizophrenia；longterm effect；rehabilitation training

森田療法是由日本医学博士森田正马于1920年创立的具有东方文化色彩的一种以治疗神经症为主的心理治疗方法[1]，传统的森田疗法分为四期，即绝对卧床期、轻作业期、重作业期、社会实践期，疗法的理论精髓：顺其自然，随遇而安，为所当为。随着时代的发展，森田的继承者对森田疗法进行修改和多方面的研究，发现改良后的森田疗法不局限于治疗神经症，还可以用于治疗精神分裂症、人格障碍、适应不良等[2]，具体做法为取消绝对卧床期，直接进入轻作业期，延长社会实践期。……