精神分裂症患者认知行为护理疗法探讨  

Cognitive Behavioral Nursing Therapy for Patients with Schizophrenia

作　　者：贾愚[1] 娄凤兰[1] 冯美丽[1] 赵贵芳[1] 

机构地区：[1]山东大学护理学院,山东济南250012

出　　处：《护理学杂志》2005年第3期10-12,共3页

摘　　要：目的探讨认知行为护理疗法对精神分裂症患者的疗效及可行性。方法将60例精神分裂症患者随机分为观 察组(22例)和对照组(38例)。对照组给予标准精神科护理和一般情感支持;观察组在此基础上给予系统认知行 为护理疗法。运用阳性和阴性症状量表(PANSS)评定疗效。结果两组PANSS总分,阴性、阳性、认知因子分比 较,差异有显著性意义(均P<0.01)。观察组疗效高于对照组(P<0.05)。结论认知行为护理疗法融入精神分裂 症患者的治疗与护理中是可行的,对于精神分裂症患者的症状缓解有较大作用,可更好地弥补单纯药物治疗的不 足。Objective To investigate the effectiveness of cognitive behavioral nursing therapy for the patients with schizophrenia and the practicability of combining it with the psychotherapy and psychological nursing. Methods Sixty patients with schizophrenia were selected and randomly divided into observation group (n=22) and control group ( n=38). The effectiveness was assessed by using the positive and negative syndrome scale (PANSS). Results Among the 60 patients with schizophrenia, there was statistically significant difference in the total score, negative factor score, positive factor score and cognitive factor score between observation group and control group. The rate of apparent advancement was higher in observation group than in control group(P<0.05). Conclusion Cognitive behavioral nursing therapy is practical for the patients with schizophrenia.

关 键 词：精神分裂症 认知行为疗法 护理 

分 类 号：R473.71[医药卫生—护理学] R749.3[医药卫生—临床医学]