辅助绘画疗法对精神分裂症患者执行功能及绘画特征的影响

doi:10.3969/j.issn.10073205.2017.04.012

河北医科大学学报

辅助绘画疗法对精神分裂症患者执行功能及绘画特征的影响

河北医科大学第一医院精神卫生研究所，河北石家庄 050031

出版日期:2017-04-25 发布日期:2017-04-25
作者简介:陈冉（1981-），女，河北滦南人，河北医科大学第一医院主管护师，从事临床护理学研究。
基金资助:
河北省医学科学研究重点课题（20150657）

Effect of drawing therapy on painting characteristics and executive function of patients with schizophrenia

Department of Mental Health Institute， the First Hospitol of Hebei Medical Univesity， Shijiazhuang 050031， China

Online:2017-04-25 Published:2017-04-25

摘要/Abstract

摘要： ［摘要］〓
〖HTH〗目的〖HTSS〗〖KG*2〗探讨辅助绘画疗法对精神分裂症患者执行功能的影响，并观察患者在绘画课程中绘画特征的变化。
〖HTH〗方法〖HTSS〗〖KG*2〗66例精神分裂症患者随机分为绘画疗法组和对照组，每组33例。2组均给予药物基础治疗，对照组给予病区常规工娱疗法，绘画疗法组在对照组基础上给予6周的绘画课程。分别在治疗前、治疗后测量2组威斯康星卡片分类测试，并对绘画课程不同时期患者使用颜色数及颜色改变进行评估。
〖HTH〗结果〖HTSS〗〖KG*2〗治疗后绘画疗法组总应答数、错误应答数、第一个分类所需应答数、持续性应答数、持续性错误数、非持续性错误数低于治疗前，完成分类数高于治疗前，差异有统计学意义（P＜005）；治疗后绘画疗法组错误应答数、持续性应答数、持续性错误数明显低于对照组，差异有统计学意义（P＜005）。中期和后期与前期比较，绘画颜色数有明显增加，差异有统计学意义（Hc=28.605,P<0.01）。绘画疗法组在中期和后期使用绘画颜色的种类明显增加（P＜005）；使用颜色饱和度的分布更广泛，后期颜色饱和度分布在1~4所有等级中。
〖HTH〗结论〖HTSS〗〖KG*2〗绘画疗法课程可以改善精神分裂症患者执行功能及绘画特征。

关键词: 精神分裂症, 绘画, 执行功能

Abstract: ［Abstract］ Objective〖HTSS〗〓To explore the effect of painting therapy on the executive function in patients with schizophrenia, and the change of painting characteristics in the painting course.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓According to the random number table method,66 patients were randomly divided into experimental group and control group, 33 patients in each group. Patients in control group were treated with drug therapy and disease activity, the experimental group added painting therapy for a total of 6 weeks of painting therapy curriculum on the basis of comparison group. Before and after the experiment of the two groups were assessed: Wisconsin card sorting test, the change of use in number and the color in different painting classes periods.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓Compared with the control group, the executive function，error response numbers, perseverative response, perseverative error response in painting therapy group had great improvement. The difference was statistically significant(P＜005). Compared with pretreatment, the completed classification number, Error response number, first calalogue, perseverative response, perseverative error response, nonperseverative error response in posttreatment painting therapy group showed the most significant differences . The difference was statistically significant(P＜005). In the middle and late stages, the number of painting colors is obviously increased. The difference was statistically significant(Hc=28.605, P<0.01). Use of painting color category in the middle and late of drawing therapy group was increased significantly（P＜005）. The distribution of use of color saturation is more wide. Late color saturation was distributed in 1 to 4 of all grades.
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓Painting therapy course could improve the executive function and change the painting characteristics of patients with schizophrenia.

Key words: schizophrenia; , paintings; , executive function

陈〓冉，蔡佳佳，王〓宁，张〓彬，康龙飞，葛〓晶，王〓巍*. 辅助绘画疗法对精神分裂症患者执行功能及绘画特征的影响[J]. 河北医科大学学报, doi: 10.3969/j.issn.10073205.2017.04.012.

CHEN Ran， CAI Jiajia， WANG Ning， ZHANG Bin， KANG Longfei， GE Jing, WANG Wei*. Effect of drawing therapy on painting characteristics and executive function of patients with schizophrenia[J]. Journal of Hebei Medical University, doi: 10.3969/j.issn.10073205.2017.04.012.

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辅助绘画疗法对精神分裂症患者执行功能及绘画特征的影响

Effect of drawing therapy on painting characteristics and executive function of patients with schizophrenia

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