心理健康教育对精神病患者家属心理健康状况的影响  

Effect of psychological health education on psychological health status of psychotic relatives

作　　者：朱伟芳[1] 付萍萍[1] 卢雪珍 徐娟[1] 刘永忠[1] 杨淑芬[1] 杨惠清[1] 余小珍 

机构地区：[1]广东省惠州市第二人民医院心理科,广东惠州516001 [2]广东省惠州市复员退伍军人医院精神科,广东惠州516001

出　　处：《中国医药导报》2015年第23期146-148,153,共4页China Medical Herald

基　　金：广东省惠州市科技计划项目(2015Y111)

摘　　要：目的探讨心理健康教育对精神病患者家属心理健康状况的影响,为优化该类患者家属的护理服务方案提供理论性指导。方法选取2012年10月-2013年9月惠州市第二人民医院（以下简称＂我院＂）精神科精神病患者家属152例为对照组,实施常规的护理服务方案;同时选取2013年10月-2014年9月我院精神科精神病患者家属160例为研究组,在实施常规的护理服务方案基础上开展心理健康教育。干预前后分别采用90项症状自评量表（SCL-90）对两组进行测评,比较两组患者家属心理健康状况。结果两组精神病患者家属干预前各项SCL-90评分差异无统计学意义（P〉0.05）,研究组干预后躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执和精神病性的SCL-90分数均明显低于对照组,差异有统计学意义（P〈0.05）。结论心理健康教育能有效改善精神病患者家属的心理状况,促进其社会功能的回归,为患者提供更为优质的家庭护理服务,有助于患者的早日康复。Objective To explore the effect of psychological health education on psychological health status of psychotic relatives and provide optimizing theoretical guidance of nursing service for psychotic relatives. Methods From October 2012 to September 2013, 152 relatives of psychopath in the Second People＇s Hospital of Huizhou City（＂our hospital＂ for short） were selected as control group, who were given the normal nursing; while 160 relatives of psychopath from October 2013 to September 2014 in our hospital were selected as research group, who were treated with psychological health education on the basis of normal nursing. The self-evaluating table of SCL-90 was used in the two groups, and psychological health status of the two groups were compared before and after intervention. Results Before intervention, SCL-90 score in the two groups had no statistically significant difference（P〉0.05）; after intervention,SCL-90 score of somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, horror,paranoid and other psychosis in research group were obviously lower than those of the control group, the differences were statistically significant（P〈0.05）. Conclusion Psychological health education can not only effectively improve the psychological status of relatives, but also return their social functions, and provide better home nursing service for the psychopath, it is helpfull for patients＇ recover.

关 键 词：心理健康 教育 精神疾病 影响 

分 类 号：R473.74[医药卫生—护理学]