| 杨惠,谭倩兰.心理护理干预对改善住院精神分裂症患者病耻感的影响研究[J].井冈山大学自然版,2015,(3):103-106 |
| 心理护理干预对改善住院精神分裂症患者病耻感的影响研究 |
| Effect of psychological nursing intervention on improving stigma of hospital people with schizophrenia |
| 投稿时间：2015-01-07 修订日期：2015-04-29 |
| DOI：10.3969/j.issn.1674-8085.2015.03.021 |
| 中文关键词: 精神分裂症 护理干预 病耻感 生活质量 |
| 英文关键词: schizophrenia nursing intervention stigma life quality |
| 基金项目: |
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| 中文摘要: |
| 目的 通过对住院精神分裂症的患者在治疗和康复的过程中进行心理护理干预,探讨对改善患者病耻感的影响.方法 将80例住院精神分裂症的患者随机分为对照组和观察组,各40例,对照组患者进行精神科常规护理,观察组在常规护理的基础上给予系统的健康教育和心理护理,采用精神疾病病耻感量表与干预前,干预3月末采用世界卫生组织生活质量评定量表(WHOQOL-100)评定两组患者的病耻感和生活质量.结果 观察组干预3 个月末精神疾病病耻感量表的总分及各纬度评分均低于治疗前(P < 0.05或P < 0.01).对照组在干预后仅在歧视、病情掩饰的评分低于治疗前(P < 0.05).观察组与对照组比较,在干预3个月末的总分和歧视、病情掩饰、积极效应3 个维度分均显著减低(P < 0.05或P < 0.01).在干预3个月末,WHOQOL-100评分如下:观察组独立性、社会关系心理状态及生理领域评分显著高于对照组,差异有统计学意义(P < 0.05或P < 0.01).结论 运用综合心理护理干预方案可以有效降低患者的病耻感,提高治疗和康复效果,有利于患者回归社会,改善其生活质量. |
| 英文摘要: |
| Objective: To explore the effect of psychological nursing intervention on the improvement of schizophrenia and the quality of life in patients with the disease. Methods: 80 patients with schizophrenia were randomly divided into two groups as control group and observation group, each of 40 cases. The patients of control group were done with psychiatric nursing routine nursing, the patients of observation group were given with health education and psychological nursing system on the basis of routine nursing. The mental illness stigma scale and the quality of life of two groups before intervention, the intervention at the end of 3 months using WHO quality of life scale (WHOQOL-100) were evaluated by the level of stigma. Results: The mental illness stigma scale score and the score of each dimension of observation group after intervention for 3 months were obviously lower than those before therapy (P < 0.05 or P < 0.01). In the control group after intervention, only in the discrimination condition hide score was lower than that before treatment (P < 0.05). Total score and discrimination, hide, the positive effects of 3 dimensions of observation group during the intervention at the end of the 3 month in comparison with the control group decreased significantly (P < 0.05 or P < 0.01). In the intervention group at the end of the 3 month, score of social relations, independence, psychological and physiological field observation were significantly higher than those in the control group, the differences were statistically significant (P < 0.05 or P < 0.01). Conclusion: Comprehensive psychological intervention can effectively improve the schizophrenia instigma of patients, be benefit for returning to the society better, improve the life quality. |
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