分析自我管理技能训练对恢复期精神分裂症患者负性情绪的影响
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摘要
目的分析自我管理技能训练对恢复期精神分裂症患者负性情绪的影响。方法用"数字表随机分组法"将方便选取2017年3月—2018年2月在该院接受治疗的100例恢复期精神分裂症患者分为50例/组。50例对照组患者接受常规护理干预,50例观察组患者接受自我管理技能训练。比较自我效能感、负性情绪以及生活质量评分。结果 4周后,观察组患者自我效能感评分(38.51±1.21)分更高(t=15.60,P=0.00),抑郁、迟缓、精神病性表现、激惹评分(1.03±0.08)分、(1.10±0.13)分、(1.06±0.25)分、(1.01±0.15)分更低,物质生活、心理功能、躯体功能、社会功能评分(80.31±1.16)分、(83.32±2.25)分、(84.10±1.18)分、(85.52±2.29)分都高于对照组患者,差异有统计学意义(P<0.05)。结论在精神分裂症患者恢复期加强自我管理技能训练可以有效改善患者的负性情绪,提高生活质量。
Objective To analyze the effect of self-management skills training on negative emotions in patients with schizophrenia during recovery. Methods One hundred patients with convalescent schizophrenia who were convenient treated in our hospital from March 2017 to February 2018 were divided into 50 patients/group. Fifty patients in the control group received routine nursing intervention, and 50 patients in the observation group received self-management skills training.Compare self-efficacy, negative emotions, and quality of life scores. Results After four weeks, the self-efficacy score(38.51±1.21) points was higher in the observation group(t=15.60, P=0.00), depression, retardation, psychotic performance,and irritation score(1.03±0.08)points,(1.10±0.13)points,(1.06±0.25)points,(1.01±0.15)points lower, material life, psychological function, physical function, social function score(80.31±1.16)points,(83.32±2.25)points,(84.10±1.18)points,(85.52 ±2.29)points higher than those in the control group,the difference was statistically significant(P<0.05). Conclusion Strengthening self-management skills training during the recovery period of schizophrenia patients can effectively improve the negative emotions of patients and improve their quality of life.
Objective To analyze the effect of self-management skills training on negative emotions in patients with schizophrenia during recovery. Methods One hundred patients with convalescent schizophrenia who were convenient treated in our hospital from March 2017 to February 2018 were divided into 50 patients/group. Fifty patients in the control group received routine nursing intervention, and 50 patients in the observation group received self-management skills training.Compare self-efficacy, negative emotions, and quality of life scores. Results After four weeks, the self-efficacy score(38.51±1.21) points was higher in the observation group(t=15.60, P=0.00), depression, retardation, psychotic performance,and irritation score(1.03±0.08)points,(1.10±0.13)points,(1.06±0.25)points,(1.01±0.15)points lower, material life, psychological function, physical function, social function score(80.31±1.16)points,(83.32±2.25)points,(84.10±1.18)points,(85.52 ±2.29)points higher than those in the control group,the difference was statistically significant(P<0.05). Conclusion Strengthening self-management skills training during the recovery period of schizophrenia patients can effectively improve the negative emotions of patients and improve their quality of life.
引文
[1]蔡燕玉,钟远惠,张凤珍,等.焦虑调控训练对精神分裂症患者负性情绪的影响[J].国际护理学杂志,2016,35(23):3185-3189.
[2]马奕.希望疗法对康复期精神分裂症患者负性情绪的影响[J].中国临床护理,2017,9(5):423-425.
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[9]李文红,王鸿雁,刘新平.意象对话疗法对康复期精神分裂症患者心理影响的研究[J].国际医药卫生导报,2016,22(17):2594-2596.
[10]于西兰.无抽搐电休克治疗难治性精神分裂症合并心理干预的效果观察[J].基层医学论坛,2017,21(21):2806-2807.
[11]Lee Junghee,Green Michael F,Calkins,Monica E.et al.Ver bal working memory in schizophrenia from the Consortium on the Genetics of Schizophrenia(COGS)Study:The moderating role of smoking status and antipsychotic medications[J].Schizophrenia research,2015,163(1/3):24-31.
[12]柯文英.现实导向训练综合护理对住院慢性精神分裂症病人生活技能和社会适应能力的影响[J].全科护理,2016,14(22):2324-2326.
[13]龚定宏.认知团体心理治疗干预社区慢性精神分裂症患者家庭照料者疗效[J].中国健康心理学杂志,2017,25(7):984-988.
[14]Stone,William S,Mesholam-Gately,et al.California Verbal Learning Test-II performance in schizophrenia as a function of ascertainment strategy:Comparing the first and second phases of the Consortium on the Genetics of Schizophrenia(COGS)[J].Schizophrenia research,2015,163(1/3):32-37.
[15]朱小英,章秋萍.自我管理技能训练对恢复期精神分裂症患者负性情绪的影响[J].护理与康复,2014,13(3):205-207.
[2]马奕.希望疗法对康复期精神分裂症患者负性情绪的影响[J].中国临床护理,2017,9(5):423-425.
[3]姜秦美.综合心理护理对精神分裂症患者治疗依从性及负性情绪的影响[J].健康研究,2016,36(5):551-553.
[4]崔健,李遵清.精神分裂症家庭照料者心理压力对负性情绪的影响研究[J].中国当代医药,2016,23(35):146-148.
[5]石银燕,王建女,张学平.引导式教育训练对提高精神分裂症患者症状自我管理能力的效果[J].护理与康复,2016,15(9):861-864.
[6]颜红萍,赵李平,胡凌志,等.自我管理技能训练法对精神分裂症患者治疗依从性和生活质量的影响[J].浙江临床医学,2017,19(8):1501-1503.
[7]潘赞,马继东.多元化护理模式对精神分裂症患者自我管理能力的影响效果研究[J].齐齐哈尔医学院学报,2016,37(34):4346-4347.
[8]刘思思,顾欣.会所康复模式对精神分裂症恢复期患者家庭负担与负面情绪的影响[J].护理学杂志,2017,32(11):64-66.
[9]李文红,王鸿雁,刘新平.意象对话疗法对康复期精神分裂症患者心理影响的研究[J].国际医药卫生导报,2016,22(17):2594-2596.
[10]于西兰.无抽搐电休克治疗难治性精神分裂症合并心理干预的效果观察[J].基层医学论坛,2017,21(21):2806-2807.
[11]Lee Junghee,Green Michael F,Calkins,Monica E.et al.Ver bal working memory in schizophrenia from the Consortium on the Genetics of Schizophrenia(COGS)Study:The moderating role of smoking status and antipsychotic medications[J].Schizophrenia research,2015,163(1/3):24-31.
[12]柯文英.现实导向训练综合护理对住院慢性精神分裂症病人生活技能和社会适应能力的影响[J].全科护理,2016,14(22):2324-2326.
[13]龚定宏.认知团体心理治疗干预社区慢性精神分裂症患者家庭照料者疗效[J].中国健康心理学杂志,2017,25(7):984-988.
[14]Stone,William S,Mesholam-Gately,et al.California Verbal Learning Test-II performance in schizophrenia as a function of ascertainment strategy:Comparing the first and second phases of the Consortium on the Genetics of Schizophrenia(COGS)[J].Schizophrenia research,2015,163(1/3):32-37.
[15]朱小英,章秋萍.自我管理技能训练对恢复期精神分裂症患者负性情绪的影响[J].护理与康复,2014,13(3):205-207.