精神分裂症恢复期患者支持性干预方案的简单效应分析  

Test of simple effect of convalescent patients with schizophrenia supportive intervention program

作　　者：宇虹[1] 周郁秋[1] 王丽娜[2] 杨金伟[1] 孙玉静[1] 

机构地区：[1]哈尔滨医科大学大庆校区护理学院,163319 [2]赤峰学院医学院护理系

出　　处：《中国实用护理杂志》2014年第26期1-6,共6页Chinese Journal of Practical Nursing

基　　金：国家自然科学基金面上项目（71173065）;内蒙古自治区自然科学基金面上项目（2013MS1175）

摘　　要：目的 针对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 将64例精神分裂症患者匹配分为实验组和对照组各32例,2组均服用相同的抗精神病药物,对照组进行常规的健康教育,实验组实施支持性干预方案,干预时间为4个月.干预前后采用IBS、APGAR、GSES和SDSS评价2组的康复效果.结果 2组被试GSES、APGRA、SDSS、IBS评分的组间因素及时间因素的主效应均具有统计学意义,且APGRA、SDSS、IBS存在时间与分组的交互作用;简单效应分析显示,干预后实验组与对照组GSES、APGRA、SDSS、IBS相比,差异有统计学意义,而对照组除自我效能指标外,其他指标干预前后比较差异无统计学意义.结论 针对精神分裂症恢复期患者制定的支持性干预方案有良好的实践指导作用,能提高患者的自我效能感以及家庭功能,纠正不合理信念,改善社会功能,帮助患者更好地适应社会.Objective In view of the schizophrenia risk factors during the recovery,to explore a supportive intervention program suitable for the rehabilitative schizophrenic patients.Methods Totally 64 rehabilitative schizophrenic patients were divided into the experimental group and the control group with 32 cases in each group.All the patients received the same treatment with antipsychotic drugs.The patients in the control group received the routine health education.In addition,the patients in the experimental group received supportive intervention for 4 months.The patients were assessed by IBS,APGAR,GSES and SDSS before and after intervention.Results Main effect of group factor and time factor of GSES,SDSS,APGAR and IBS had statistical significances.There were significant interaction in the scores of SDSS,APGAR and IBS.Simple effect analysis demonstrated the scores of GSES,SDSS,APGAR and IBS in the experimental group were higher than those of the control group after the intervention.Except the score of GSES,there was no differences in other scales before and after the intervention of the control group.Conclusions Supportive intervention program for the rehabilitative schizophrenic patients have good practice guidance.It can improve the patients＇ self-efficacy,family function and social function,also can correct irrational beliefs and to help patients better adapt to society.

关 键 词：精神分裂症 支持性干预 干预方案 

分 类 号：R473.74[医药卫生—护理学]