日记疗法对恢复期精神分裂症患者精神症状的影响  

Effects of diary therapy on psychiatric symptoms of schizophrenia patients in recovery period

作　　者：陈慧月 林敏 黄惠君 黄清如 

机构地区：[1]福建省福州神经精神病防治院门诊,350008 [2]福建省福州神经精神病防治院精神三科,350008 [3]福建省福州神经精神病防治院护理部,350008

出　　处：《中华现代护理杂志》2016年第11期1572-1575,共4页Chinese Journal of Modern Nursing

基　　金：福州市科技计划项目（2013-S-129-4）

摘　　要：目的 探讨日记疗法对恢复期精神分裂症患者的精神症状的影响.方法 将100例恢复期精神分裂症住院患者随机分为对照组和训练组各50例,对照组按精神科护理常规手段进行护理,即每天进行日常生活指导、开展娱乐活动、责任护士定期健康教育等.训练组在常规治疗与护理的基础上,实施日记疗法.采用简明精神病量表（BPRS）分别于干预前及干预后进行评定.结果 干预后训练组患者的BPRS总分及焦虑/抑郁、缺乏活力、思维障碍、激活性、敌对猜疑因子评分分别为（24.340±1.891）,（5.540±0.734）,（5.980±1.152）,（5.680±0.935）,（3.720±0.757）,（3.420±0.499）分,均优于对照组评分[（31.740 ±2.354）,（7.140±1.069）,（7.500±0.995）,（7.320±0.891）,（4.940±0.843）,（4.840±0.842）分],两组差异有统计学意义（F值分别为70.969,13.383,29.353,35.284,9.297,17.614;P＜0.05）.结论 对恢复期精神分裂症患者实施日记疗法更能减轻患者的精神症状,改善患者的思维、情感、行为,促进患者的康复.Objective To explore the effects of diary therapy on psychiatric symptoms of schizophrenia patients in recovery period.Methods A total of 100 patients with schizophrenia were randomly divided into two groups：control group and training group,50 cases in each group.The patients of control group received the psychiatric routine nursing which meant to carry out daily life guidance,to carry out recreational activities,had regular health education by charging nurses,and so on.The patients of training group were under the basis of conventional treatment and care,and implemented diary therapy.The brief psychiatric rating scale （BPRS） was used to assess the prognosis of the patients before and after the intervention.Results In the training group after the intervention,the total scores of BPRS and anxiety depression,lack of energy,thought disorder,activation and hostile suspiciousness factor scores were （24.340 ± 1.891）,（5.540 ±0.734）,（5.980 ± 1.152）,（5.680 ±0.935）,（3.720 ± 0.757）,（3.420 ± 0.499）,which were better than those of the control group （31.740 ± 2.354）,（7.140 ± 1.069）,（7.500 ± 0.995）,（7.320 ± 0.891）,（4.940 ± 0.843）,（4.840 ± 0.842） （F =70.969,13.383,29.353,35.284,9.297,17.614;P 〈0.05）.Conclusions In the recovery period of schizophrenia patients,the implementation of diary therapy can reduce the patient＆#39;s mental symptoms,improve the patient＆#39;s thinking,emotion and behavior,and promote the rehabilitation of patients.

关 键 词：精神分裂症 恢复期 日记疗法 精神症状 

分 类 号：R473.74[医药卫生—护理学]