希望理论在精神分裂症患者临床康复护理中的应用效果研究  

Study the effect of hope theory to patients with schizophrenia in the clinical of rehabilitation nursing

作　　者：刘桂苓[1] 王文霞[1] 马霞[1] 高彩凤[1] 谢贞[1] 

机构地区：[1]山东省济宁市精神病防治院,272051

出　　处：《中国实用医药》2013年第22期214-216,共3页China Practical Medicine

摘　　要：目的探讨希望理论在精神分裂症患者临床康复护理中的应用效果,为促进精神分裂症患者的康复提供干预依据。方法 60名恢复期精神分裂症患者按抛硬币分组法分为研究组(32例)和对照组(28例),对照组按普通护理,仅给予一般性健康教育和支持性心理护理,研究组则以希望理论为指导,给予希望护理干预,时间为4周。干预前后,采用Herth希望量表(HHI),精神疾病患者病耻感量表(SSMI)和症状自评量表(SCL-90)对两组进行测评。结果干预前,两组HHI、SSMI和SCL-90评分差异无统计学意义(P>0.05),干预后,研究组HHI评分明显高于对照组,SSMI和SCL-90评分明显低于对照组,差异具有统计学意义(P<0.01)。结论对精神分裂症患者实施希望护理干预,能够降低患者病耻感,提高心理健康水平,有助于患者的康复。Objective To explore the effect of hope theory to patients with schizophrenia in the clinical of rehabilitation nursing and to provide intervention basis.Methods According to the method of flipping a coin,60 patients with schizophrenia were divided into an observation group（32 cases） and a control group（28 cases）.The control group were given the ordinary nursing,including General supportive psychological nursing and health education,and the observation group received interventions based on hope theory.The Intervention lasted 4 weeks.The Herth Hope Index（HHI）,mental disease patients with shame scale（SSMI） and symptom self-assessment scale（SCL-90） were used to evaluate the effects of both groups before and after the intervention.Results Before the intervention,the HHI,SSMI,SCL-90 score in the two groups were no significant difference（P ＆gt;0.05）;After the intervention,the HHI scores in the observation group were significantly higher than those in the control group and the SSMI and SCL-90 scores were significantly lower than those in the control group（P ＆lt;0.01）.Conclusion Hope theory based interventions applied to patients with schizophrenia can reduce their disease sense of sham and increase their the level of mental health,so as to be helpful for the recovery of patients.

关 键 词：精神分裂症 希望理论 病耻感 心理健康 

分 类 号：R473.74[医药卫生—护理学]