| Objective: In this study,the patients with schizophrenia received family participation type painting therapy,to explore the effect on the function rehabilitation,including effects on disease cognition,executive function and social function,to explore the effect on patients with family intimate adaptability.Methods: select a hospital mental health Department of the two closed ward patients with a total of 66.According to the random number table method were randomly divided into experimental group(30),control group(27),each patient has invitated a family member participate in the process,patients in control group were treated with drug therapy and disease activity,the experimental group added painting therapy on the basis of comparison group.The two groups were comparable at baseline,average age(37.97±13.00)of painting therapy group,the control group age was(36.19±11.54).By the implementation team was once a week,each about 90 minutes,for a total of 6 weeks of painting therapy curriculum,the curriculum structure of painting therapy including early(into),medium(expression)and late(imagination)three phase.Each course includes opening presentations,family members to participate in the theme of painting,free creation of three parts.Before and after the experiment of the two groups were assessed: general situation questionnaire,schizophrenia patients quality of life(QOL)table(SQLs),Wisconsin Card Sorting Test(WCST),Toronto Alexithymia Scale(TAS-20),mental illness stigma volume table Chinese Version(SSMI-C),family adaptability and cohesion scale table(FACES II-CV).All data using SPSS 17.0 software for statistical analysis of data.All normal measure data as mean ± standard deviation(x ± s),the enumeration data expressed as percentage,and comparison of measurement data between groups using two sample t test in the test group before and after the measurement data were compared using paired t test.Among many groups of count data using K-W test,further two-two comparison using the Nemenyi method.With P<0.05 as significant difference,P<0.01 was a very significant difference.Result:1 No significant differences were found in age(t=0.55,P=0.59),Gender(?2=0.19,P=0.89),Education(?2=3.38,P=0.50),marital status(?2=0.23,P=0.99),income(?2=1.46,P=0.69),vocation(?2=4.48,P=0.35)and rehospitalized times(?2=0.69,P=0.71)between Painting therapy group and control group.Before the test,also no significant differences were found in cohesion and adaptation scale,quality of life scores,Alexithymia Scale score,Stigma Scale score,Wisconsin Card Sorting Test score and all subscales(P>0.05).2 After the experiment the difference between the two groups,except for motivation / energy component table score was not statistically significant(12.77±10.33,13.89±3.69,t=0.56,P >0.05),the other table had statistical significance(P<0.05).The painting therapy group pre-and post-treatment comparisons of intra-group both showed the significant differences(P<0.05),control group,quality of life scale(t=2.45,P<0.05)and psychosocial subscale scores(t=2.43,P<0.05)had statistically significant.3 Compared with the control group,painting therapy group alexithymia score(51.36±7.86,56.04±7.49,t=2.29,P<0.01),Emotion recognition scale score(17.07±3.95,20.15±3.25,t=3.19,P<0.01)in lower level.The painting therapy group pre-and post-treatment comparisons of intra-group both showed the most significant differences(P<0.05).4 Significant differences were found in stigma scale score(47.60±10.65,53.15±8.07,t=2.20,P<0.05)and discrimination scale score(19.27±7.10,22.56±3.63,t=2.23,P<0.05)between painting therapy group with control group,the effect on two groups illness conceal factor and active effect factor is consistent(P>0.05).The painting therapy group pre-and post-treatment comparisons of intra-group both showed the most significant differences but the active effect factor(P<0.01).5 Compared the executive function with the control group,painting therapy group error numbers(RE),sustained response(RP),continuous error(RPE)had great improvement(P<0.05).The painting therapy group pre-and post-treatment comparisons of intra-group both showed the most significant differences(P<0.05).No significant differences were found in control group(P>0.05).6 The quality of life was improved in the treatment group of 86.67% patients,62.96% in the control group,the difference was statistically significant(X2=4.31,P=0.04).Painting therapy group were 50% patients with shame level decreased in the control group,only the 22.22%,the difference has statistical significance(X2=4.71,P = 0.03).7 Great significant differences were found on the number of colors between early term with medium term(X2=13.44,P<0.01)and early term with late term(X2=33.82,P<0.01).No significant differences were found between medium term with late term(X2=3.91,P>0.10).Early term works using 1-2 color accounted for 83.3% of the total work of early term,32% of the medium term and late term was 12%,3-4 color paintings for early works of 13.89 %,20% of the medium term and late term was 32%.8 Each 2,3 grade color number accounted for the actual use of the number of early(50%),medium(62.5%)and late(70%).Conclusion:1 Family participation type Painting Therapy to improve the degree of intimacy between schizophrenic patients and family,and to improve the adaptability of patients.2 Family participation type Painting Therapy to enhance their ability to identify their own feelings.3 Family participation type Painting Therapy to reduce the stigma of patients,reduce patient discrimination sensitivity.4 Family participation type Painting Therapy to improve the patient's cognitive transfer ability,enhance the attention and memory of patients.5 Family participation type Painting Therapy to improve the quality of life of patients and can express their feelings in the process of painting. |
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