同伴教育对恢复期精神分裂症患者的康复作用  

The role of peer education for rehabilitative patients with schizophrenia

作　　者：史鹏达 陈宏关 杨桂君[1] 侯玉玲[1] 徐红[1] 

机构地区：[1]秦皇岛市九龙山医院康复科,河北省秦皇岛066000

出　　处：《中国基层医药》2016年第14期2111-2114,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：河北省秦皇岛市科技计划项目（201502A097）

摘　　要：目的探讨同伴教育对恢复期精神分裂症患者康复的作用。方法108例住院治疗恢复期精神分裂症患者按入院先后顺序分成观察组和对照组各54例，观察组在接受精神科常规治疗和护理的同时再加以同伴教育，对照组只接受精神科常规治疗和护理。观察组给予为期20周的同伴教育。两组在入组时、第10周、第20周给予护士简明精神量表（N—BPRS）、自知力和治疗态度问卷量表（ITAQ）进行评定。结果入组时两组N—BPRS评分差异无统计学意义（t=0．191，P=0．850），观察组接受同伴教育第10周和第20周评分差异有统计学意义（t=2．757，P=0．069；t=4．000，P=0．000）。20周后观察组ITAQ评分（17．22±4．31）分，与入组时ITAQ评分（11．22±3．55）分差异有统计学意义（P〈0．01）；对照组ITAQ评分（13．12±6．12）分，与人组时ITAQ评分（10．84±5．19）分差异无统计学意义（P〉0．05）。结论精神分裂症恢复期患者接受同伴教育有利于康复，提高自知力和治疗态度。Objective To discuss peer education on the rehabilitation in schizophrenia recovery. Methods According to the order of admission, 108 cases of hospitalized recovery of schizophrenia patients were divided into observation group and control group, each group in 54cases. The observation group received psychiatric conventional treatment and care at the same time add peer educations, the control group only accepted psychiatric conventional treatment and care. The observation group was given for a period of 20 weeks peer education. The nurse brief mental scale （ N - BPRS）, self - knowledge and treatment attitude questionnaire scale （ITAQ） were assessed in the two groups at the beginning, 10 weeks ,20 weeks. Results The difference of N -BPRS score between the two groups was not statistically significant （t = 0. 191, P = 0. 850）. In the observation group, the scores had significant differences between 10 weeks and 20 weeks peer education （t =2. 757,P =0. 069;t =4. 000,P =0. 000）. The ITAQ scores of the observation group at the beginning,20 weeks peer education were （ 11.22 ± 3.55 ） points, （ 17.22 ± 4.31 ） points, the difference was statistically significant （P 〈 0.01 ）. In control group, ITAQ scores before and after treatment were （ 10.84 ± 5.19 ） points, （ 13.12 ± 6.12） points, the difference was not statistically significant （ P 〉 0.05 ）. Conclusion Schizophrenia convalescence patients accept peer education is helpful to rehabilitation.

关 键 词：恢复期精神分裂症 同伴教育 康复 

分 类 号：R473.74[医药卫生—护理学]