Volume 22 Issue 1
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LI Bixia, MA Lingya, YU Xiaoding. Effect of cognitive adaptation training on cognitive function and social function of schizophrenia patients[J]. Chinese Journal of General Practice, 2024, 22(1): 101-104. doi: 10.16766/j.cnki.issn.1674-4152.003341
Citation: LI Bixia, MA Lingya, YU Xiaoding. Effect of cognitive adaptation training on cognitive function and social function of schizophrenia patients[J]. Chinese Journal of General Practice, 2024, 22(1): 101-104. doi: 10.16766/j.cnki.issn.1674-4152.003341
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Effect of cognitive adaptation training on cognitive function and social function of schizophrenia patients

doi: 10.16766/j.cnki.issn.1674-4152.003341
  • 1.

    Shaoxing No.7 People's Hospital Psychiatry Department 6, Shaoxing, Zhejiang 312000, China

Funds:

 2022ZH062

  • Received Date: 2023-10-09
    Available Online: 2024-03-09
    Abstract
  •   Objective  To analyze the nursing effect of cognitive adaptation training on patients with schizophrenia, as well as its impact on indicators such as cognitive function and social function.  Methods  Using convenient sampling method, 166 patients with schizophrenia admitted to Shaoxing Seventh People's Hospital from October 2019 to June 2023 were chosen as the research object, and they were randomly split into control group and observation group, with 83 patients in each group. Patients in the control group were given routine nursing and rehabilitation training, while patients in the observation group were given cognitive adaptation training on the basis of the control group. The mental symptoms, cognitive function and social function of the two teams were compared before and after intervention, and the medication compliance of the two groups was counted.  Results  After the intervention, the positive and negative symptom scale (PANSS) of the two groups decreased, and the scores and total scores of each dimension in the observation group were obviously lower than those in the control group (P < 0.05). After the intervention, the scores of MATRICS consensus cognitive battery (MCCB) of patients in both groups were improved, and the observation group scored (55.71±3.82) points were obviously higher than that in the control groups [(53.21±4.16) points, P < 0.05]. After the intervention, the patients' global assessment of function (GAF) and personal and social performance scale (PSP) in both groups were improved, but the scores of each scale in the observation group were (75.43±5.83) points and (63.35±4.63) points, respectively, which were higher than those in the control groups [(68.92±6.90) points and (58.91±5.39) points, P < 0.05]. The medication compliance of the observation group was higher than that of the control group (P < 0.05).  Conclusion  Cognitive adaptation training can relieve the symptoms of schizophrenia patients on the basis of routine treatment and nursing, improve their cognitive and social functions, and effectively improve their medication compliance, which is worthy of clinical application.

     

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    • References(22)
  • [1]
    DE NUNZIO A M, SCHWEISFURTH M A, GE N, et al. Relieving phantom limb pain with multimodal sensory-motor training[J]. J Neural Eng, 2018, 15(6): 066022. DOI: 10.1088/1741-2552/aae271.
    [2]
    CHEN X W, LIU F Q, YAN Z H, et al. Therapeutic effects of sensory input training on motor function rehabilitation after stroke[J]. Medicine (Baltimore), 2018, 97(48): e13387. DOI: 10.1097/MD.0000000000013387.
    [3]
    HUGUNIN J, YUAN Y Y, BAEK J, et al. Characteristics of working-age adults with schizophrenia newly admitted to nursing homes[J]. J Am Med Dir Assoc, 2022, 23(7): 1227-1235.e3. DOI: 10.1016/j.jamda.2021.11.019.
    [4]
    赵伟, 王玉玲, 刘志华, 等. 认知适应训练在严重精神障碍患者中的应用进展[J]. 中华护理杂志, 2023, 58(7): 885-890.

    ZHAO W, WANG Y L, et al. Progress in the application of cognitive adaptation training in patients with severe mental disorders[J]. Chinese Journal of Nursing, 2023, 58(7): 885-890.
    [5]
    SKOKOU M, MESSINIS L, NASIOS G, et al. Cognitive rehabilitation for patients with schizophrenia: a narrative review of moderating factors, strategies, and outcomes[J]. Adv Exp Med Biol, 2023: 193-199. DOI: 10.1007/978-3-031-31978-5_17.
    [6]
    罗晓东, 吕跃中, 贾雪珍, 等. 阿立哌唑联合丁螺环酮治疗精神分裂症的效果及安全性分析[J]. 中华全科医学, 2021, 19(1): 83-85, 123. doi: 10.16766/j.cnki.issn.1674-4152.001737

    LUO X D, LV Y Z, JIA X Z, et al. Analysis of the efficacy and safety of aripiprazole combined with buspirone in the treatment of schizophrenia[J]. Chinese Journal of General Practice, 2021, 19(1): 83-85, 123. doi: 10.16766/j.cnki.issn.1674-4152.001737
    [7]
    朱晓丹. 急性期精神分裂症患者认知功能影响因素分析及干预研究[D]. 济南: 山东大学, 2020.

    ZHU X D. Analysis of influencing factors and intervention research on cognitive function in patients with acute schizophrenia[D]. Ji'nan: Shandong University, 2020.
    [8]
    秦知航, 陈琳霞. 量化评估下的个性化护理干预对青少年精神分裂症患者自我管理能力的影响[J]. 中华全科医学, 2021, 19(1): 86-88. doi: 10.16766/j.cnki.issn.1674-4152.001738

    QIN Z H, CHEN L X. The impact of personalized nursing interventions under quantitative evaluation on self-management ability of adolescent schizophrenia patients[J]. Chinese Journal of General Practice, 2021, 19(1): 86-88. doi: 10.16766/j.cnki.issn.1674-4152.001738
    [9]
    杨旭, 李伟, 杨林, 等. 阿立哌唑与利培酮联合无抽搐电休克治疗精神分裂症的临床疗效[J]. 中国临床药理学杂志, 2023, 39(2): 178-181. https://www.cnki.com.cn/Article/CJFDTOTAL-GLYZ202302006.htm

    YANG X, LI W, YANG L, et al. The clinical efficacy of aripiprazole and risperidone combined with non convulsive electroconvulsive therapy in the treatment of schizophrenia[J]. Chinese Journal of Clinical Pharmacology, 2023, 39(2): 178-181. https://www.cnki.com.cn/Article/CJFDTOTAL-GLYZ202302006.htm
    [10]
    谢远丝, 张慧, 姚慧慧. 短程认知行为疗法联合药物治疗焦虑障碍的临床研究[J]. 海南医学, 2022, 33(9): 1145-1147. https://www.cnki.com.cn/Article/CJFDTOTAL-HAIN202209015.htm

    XIE Y S, ZHANG H, YAO H H. A clinical study of short-term cognitive behavioral therapy combined with medication in the treatment of anxiety disorder[J]. Hainan Medical Journal, 2022, 33(9): 1145-1147. https://www.cnki.com.cn/Article/CJFDTOTAL-HAIN202209015.htm
    [11]
    周晓月, 郑亚丽, 周仙琴. 医院-社区-家庭一体化延续护理对精神分裂症患者防治和康复的影响[J]. 中国康复, 2022, 37(1): 61-64. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLKF202201021.htm

    ZHOU X Y, ZHOU Y L, ZHOU X Q. The impact of hospital community family integrated continuous care on the prevention, treatment, and rehabilitation of schizophrenia patients[J]. China Rehabilitation, 2022, 37(1): 61-64. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLKF202201021.htm
    [12]
    兰琨熠, 张清, 沈悦好. GMAS、MMAS-8和SEAMS评估慢性病病人用药依从性效能的比较[J]. 护理研究, 2023, 37(13): 2322-2328. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202313006.htm

    LAN K Y, ZHANG Q, SHEN Y H. Comparison of the efficacy of GMAS, MMAS-8, and SEAMS in evaluating medication compliance in chronic disease patients[J]. Chinese Nursing Research, 2023, 37(13): 2322-2328. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202313006.htm
    [13]
    GONZÁLEZ-PANDO D, ALONSO-PÉREZ F, SUÁREZ-GIL P, et al. Diminished emotional expression in schizophrenia: an interdisciplinary approach based on behavioral interventions[J]. Psicothema, 2018, 30(1): 8-13.
    [14]
    USLU E, BULDUKOGLU K. Randomized controlled trial of the effects of nursing care based on a telephone intervention for medication adherence in schizophrenia[J]. Perspect Psychiatr Care, 2020, 56(1): 63-71.
    [15]
    任维聪, 王汉林, 张志杰. 自适应认知训练对老年人认知功能的改善[J]. 中华老年医学杂志, 2021, 40(6): 788-792. https://cdmd.cnki.com.cn/Article/CDMD-10159-1021870087.htm

    REN W C, WANG H L, ZHANG Z J. Adaptive cognitive training improves cognitive function in the elderly[J]. Chinese Journal of Geriatrics, 2021, 40(6): 788-792. https://cdmd.cnki.com.cn/Article/CDMD-10159-1021870087.htm
    [16]
    KIDD S A, KERMAN N, ERNEST D, et al. A pilot study of a family cognitive adaptation training guide for individuals with schizophrenia[J]. Psychiatr Rehabil J, 2018, 41(2): 109-117.
    [17]
    樊献丽, 武振宁, 武克文, 等. 计算机认知矫正治疗联合社交技能训练对精神分裂症患者阴性症状的效果研究[J]. 中国基层医药, 2023, 30(2): 235-239. https://www.cnki.com.cn/Article/CJFDTOTAL-XDZD202112066.htm

    FAN X L, WU Z N, WU K W, et al. A study on the effect of computer cognitive correction therapy combined with social skills training on negative symptoms in patients with schizophrenia[J]. Chinese Grassroots Medicine, 2023, 30(2): 235-239. https://www.cnki.com.cn/Article/CJFDTOTAL-XDZD202112066.htm
    [18]
    MORORÓ L G, GUIMARÃES A L, COSTA A C, et al. Association between motivation and engagement with changes in cognition and symptoms after digital cognitive training in schizophrenia[J]. Schizophr Res, 2023, 251: 1-9.
    [19]
    VAN DAM M, VAN WEEGHEL J, STIEKEMA A, et al. Barriers and facilitators to implementation of cognitive adaptation training in long-term inpatient facilities for people diagnosed with severe mental illness: a nursing perspective[J]. J Psychiatr Ment Health Nurs, 2022, 29(4): 568-577.
    [20]
    裴建琴, 张艳, 陆江波, 等. 团体感觉运动训练对老年精神分裂症患者认知功能、阴性症状的干预效果研究[J]. 军事护理, 2022, 39(9): 13-16. https://www.cnki.com.cn/Article/CJFDTOTAL-JFHL202209004.htm

    PEI J Q, ZHANG Y, LU J B, et al. A study on the intervention effect of team sensory exercise training on cognitive function and negative symptoms in elderly patients with schizophrenia[J]. Military Nursing, 2022, 39(9): 13-16. https://www.cnki.com.cn/Article/CJFDTOTAL-JFHL202209004.htm
    [21]
    KELSVEN S, BRUMMIT K, DEVOE D, et al. Cognitive-behavioral social skills training adapted for youth at clinical high risk for psychosis[J]. J Cogn Psychother, 2022: JCP-2021-0029. R1. DOI: 10.1891/JCP-2021-0029.
    [22]
    周亚楠, 翟金国, 陈敏. 首发精神分裂症精神病未治期对认知功能和社会功能的影响[J]. 中国神经精神疾病杂志, 2018, 44(1): 38-43. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSJJ201801010.htm

    ZHOU Y N, ZHAI J G, CHEN M. Effects of untreated first episode schizophrenia on cognitive function and social function[J]. Chinese Journal of Neuropsychiatric Disorders, 2018, 44(1): 38-43. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSJJ201801010.htm
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