希望理论干预对慢性精神分裂症患者希望水平及生活质量的影响  

The influence of hope theory intervention on the hope levels and quality of life of chronic schizophrenics

作　　者：马厚辉 陈阳 刘雪英 李卡梅 黄健华 何飞燕 

机构地区：[1]崇左市复退军人医院,广西·南宁530219

出　　处：《临床心身疾病杂志》2016年第5期82-85,共4页Journal of Clinical Psychosomatic Diseases

基　　金：崇左市科技攻关立项课题（编号14060201）

摘　　要：目的探讨希望理论干预对慢性精神分裂症患者希望水平及生活质量的影响。方法将100例康复期慢性精神分裂患者根据人院单双号分为两组，每组50例。两组均予以精神科常规治疗及护理，研究组在此基础上联合希望理论干预，观察6个月。于干预前及干预后采用Herth希望水平量表、社会支持量表及世界卫生组织生存质量测定量表评定希望水平、社会支持状况及生活质量。结果干预2个月起研究组各量表评分和对照组世界卫生组织生存质量测定量表评分均较干预前显著升高（P〈0．05或0．01），对照组干预2个月社会支持量表评分和干预6个月Herth希望水平量表评分较干预前显著升高（P〈0．05或0．01），其他时间点则无显著变化（P〉0．05）；干预后研究组各量表评分均显著高于对照组（P〈0．05或0．01）。结论希望理论干预能够显著提高慢性精神分裂症患者的希望水平及生活质量，改善其社会支持状况，有利于促进患者的全面康复。Objective To explore the influence of hope theory intervention on the hope levels and quality of life of chronic schizophrenics. Methods A total of 100 chronic schizophrenics were assigned to two groups of 50 ones each according to admission odd or even numbers, both groups received routine psychiat- ric treatment and nursing, and on this basis research group was plus hope theory intervention for 6 months. Before and after intervention hope levels were assessed with Herth Hope Index （HHI）, social support status with the Social Support Index （SSI）, and qualities of life with WHO Quality of Life Scale （WHOQOL-100）. Results Since the end of the 2na month all scales scores in research and the WHOQOL- 100 score in control group heightened more significantly compared with pre-intervention （P〈 0. 05 or 0.01）, so did the SSI score since the end of the 2nd month and HHI since the 6th in control group （P〈0.05 or 0.01）, and there were no significant changes in other time points （P〉0. 05）; after intervention all scales scores were significantly higher in research than control group （P〈0.05 0.01）. Conclusion Hope theory intervention could notably boost the hope levels and quality of life of chronic schizophrenia, improve social support status, and is beneficial to patients; comprehensive rehabilitation.

关 键 词：慢性精神分裂症 希望理论 社会支持 生活质量 Herth希望水平量表 社会支持量表 世界卫生组织生存质量测定量表 

分 类 号：R749.3[医药卫生—神经病学与精神病学]