摘要
目的探讨人性化情感干预对慢性精神分裂症患者的康复效果。方法将118例慢性精神分裂症患者根据入院时间分为观察组和对照组各59例,对照组采用传统护理模式,观察组按计划实施人性化情感干预护理,具体包括医院支持、社会支持及社会活动三方面。分别于入院15d及入院60d采用阴性症状量表(scale for assessment of negative symptoms,SANS)、简明精神病量表(brief psychiatric rating scale,BPRS)及住院患者护士观察量表(nurses’observation scale for inpatient evaluation,NOSIE)评定两组患者的干预效果。结果入院后60d,除思维贫乏外,观察组患者SANS总分及各因子分均低于对照组;BPRS总分及思维障碍、活动障碍因子分低于对照组;NOSTE总分及积极因子分高于对照组,消极因子分低于对照组,差异均有统计学意义(P<0.05)。结论人性化情感干预能降低慢性精神分裂症患者的焦虑、抑郁症状,使患者感受到社会和家庭的关怀,促使患者走出自我封闭状态。
Objective To explore the effects of humanized emotional intervention on psychiatric symptoms of chronic schizophrenia. Methods Totally 118 patients with chronic schizophrenia were randomly divided into observational and control groups, with 59 patients in each group. Patients in the control group were given conventional nursing interventions, while patients in the observational group were given humanized emotional interventions for 60 days, including support from hospital and social. Intervention effects were assessed with the brief psychiatric rating scale（BPRS） ,tracheotomy scale for assessment of negative symp- toms（SANS） and nurses＇ observation scale for inpatient evaluation （NOSIE） 15 days and 60 days after re- habilitation training. Results The total score and scores of insufficient vigor and thinking disturbance in the BPRS were obviously lower in the observation than which in the control group（P^0.05） ; Except for the factor of poverty of thought, the total and each factor score of the SANS were significantly lower in the observational group than those in the control group（P%0.05）; the score of the total and positive factor the NOSIE was obviously higher and the negative factor was obviously lower in the observational group than that in the control group （P〈0.05）. Conclusion Humanized emotional interventions may contribute to reducing the level of anxiety and depression and making the patients feel more support from social and family,so as to force the patients with chronic schizophrenia to get rid of self-reclusive.
出处
《解放军护理杂志》
CSCD
2013年第21期32-34,37,共4页
Nursing Journal of Chinese People's Liberation Army
关键词
人性化
情感干预
精神分裂症
康复
humanized
emotional intervention
schizophrenia
rehabilitation
