精神分裂症恢复期患者支持性干预方案的设计与验证:预实验

发布时间：2018-08-12 13:15

【摘要】：目的分析精神分裂症恢复期危险因素,探索适合精神分裂症恢复期患者的支持性干预方案。方法选择2013年3—9月赤峰市安定医院门诊取药或复查的30例精神分裂症患者,按照年龄和病程匹配分为试验组和对照组,各15例。两组均服用相同的抗精神病药物,对照组入组时行常规健康教育,试验组实施支持性干预(干预时间持续10周)。干预前后采用家庭关怀度指数问卷(APGAR)、非理性信念量表(IBS)、社会功能缺陷量表(SDSS)、一般自我效能感量表(GSES)评价两组的康复效果。结果时间因素和分组因素对APGRA、IBS、SDSS、GSES评分存在交互作用(P0.05);组间比较:试验组和对照组干预前APGRA、IBS、SDSS、GSES评分间差异无统计学意义(P0.05);干预后,试验组APGRA、GSESS评分高于对照组,IBS、SDSS评分低于对照组,差异有统计学意义(P0.05)。组内比较:对照组干预前后各评分间差异均无统计学意义(P0.05);试验组干预后APGRA、GSESS评分较干预前升高,IBS、SDSS评分均较干预前降低,差异有统计学意义(P0.05)。结论预实验显示,支持性干预在一定程度上改善了患者的家庭功能、非理性信念、社会功能及自我效能,能有效促进精神分裂症恢复期患者的康复,从而为临床护理人员开展康复工作提供实践指导。
[Abstract]:Objective to analyze the risk factors of schizophrenia in convalescent stage and to explore a supportive intervention scheme for schizophrenic convalescent patients. Methods Thirty schizophrenic patients who were collected or rechecked from the clinic of Chifeng Anding Hospital from March to September 2013 were divided into experimental group and control group according to their age and course match, 15 cases in each group. Both groups took the same antipsychotic drugs, the control group received routine health education, and the experimental group received supportive intervention (the intervention lasted for 10 weeks). Before and after intervention, family care index questionnaire (APGAR), irrational belief scale (IBS), social function defect scale (SDSS), general self-efficacy scale (GSES) were used to evaluate the rehabilitation effect of the two groups. Results there was interaction between time factors and grouping factors on the scores of APGRAA IBSS-SDSSSS GSES (P0.05), and there was no significant difference between experimental group and control group before intervention (P0.05), after intervention, the score of APGRAGSESS was higher than that of control group (P < 0.05), and the score of APGRAGSESS was lower than that of control group (P < 0.05), and there was no significant difference between experimental group and control group before intervention (P0.05), and after intervention, the score of APGRAGSESS was higher than that of control group. The difference was statistically significant (P0.05). Comparison within the group: before and after intervention in the control group there was no significant difference between the scores (P0.05); the test group after intervention APGRAN GSESS scores were higher than before intervention IBSU SDSS scores were lower than before intervention, the difference was statistically significant (P0.05). Conclusion Pre-experiment shows that supportive intervention can improve patients' family function, irrational belief, social function and self-efficacy to a certain extent, and can effectively promote the recovery of patients with schizophrenia in convalescent stage. So as to provide practical guidance for clinical nursing staff to carry out rehabilitation work.
【作者单位】：哈尔滨医科大学大庆校区护理学院;内蒙古自治区赤峰市赤峰学院护理系;
【基金】：国家自然科学基金资助项目(71173065) 内蒙古自治区高等学校科学研究项目(NJZY13309)
【分类号】：R749.3

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