Effect of phased reward behavior therapy on rehabilitation of patients with chronic schizophrenia
10.3760/cma.j.issn.1674-2907.2011.28.002
- VernacularTitle:分阶段奖酬行为疗法对精神分裂症患者康复效果的影响
- Author:
Ju-Fang JIANG
1
;
Min-Hong YAO
;
Lan-Fen DING
Author Information
1. 南京医科大学附属无锡精神卫生中心
- Keywords:
Chronic schizophrenia;
Rehabilitation;
Phased behavior therapy
- From:
Chinese Journal of Modern Nursing
2011;17(28):3352-3355
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the effect of phased reward behavior therapy on rehabilitation of patients with chronic schizophrenia.Methods 60 patients were randomly divided into treatment group (30 cases) and control group (30 cases) according to admission time.The treatment group received reward behavior therapy on the basis of drug treatment and traditional nursing care,while the control group received conventional work entertainment treatment activities.Brief Psychiatric Rating Scale (BPRS),Scale for Schizophrenia Positive Symptoms (SAPS),Negative Symptoms Scale (SANS) and the efficacy of inpatient rehabilitation of mental patients rating scale (IPROS)were used to evaluate the deficiency level of social function,degree of remission and rehabilitation of the patients before and 6 months after the treatment.Results The total average score of BPRS and IPROS of the treatment group were lower than the control group and the differences were significant [(8.81 ±6.41) vs (11.10±8.5),(19.15 ±14.11 ) vs (31.14 ± 16.10 ) ;t =3.18,7.61 ;P ＜ 0.01 ].SAPS and SANS scores of the treatment group were lower than the control group,the differences were significant [ (7.31 ± 1.51) vs ( 10.16 ± 2.10),( 12.32 ± 2.16) vs ( 15.65 ±1.48) ;t =3.62,3.12;P＜0.01].Conclusions Reward behavior therapy could help reduce some of the symptoms of chronic schizophrenia,improve self-care ability,prevent deterioration and regain mental function.
