团体游戏对住院慢性精神分裂症患者孤独感的影响  

Research on the effect of group play on loneliness for inpatients with chronic schizophrenia

作　　者：章小彩[1] 李琳[1] 朱小英[1] 李凤苹[1] 孙榕英[1] 

机构地区：[1]浙江省杭州市第七人民医院,浙江杭州310013

出　　处：《护理与康复》2016年第12期1126-1129,共4页Journal of Nursing and Rehabilitation

基　　金：2012年杭州市医学重点专科专病项目;编号:20120533Q16

摘　　要：目的观察团体游戏对住院慢性精神分裂症患者孤独感的影响。方法将106例住院慢性精神分裂症患者按随机数字表分为观察组和对照组各53例。对照组给予抗精神病药物治疗和传统护理,观察组在对照组基础上实施16周团体游戏干预,并在干预前后采用情绪-社交孤独感问卷、阴性症状量表和阳性症状量表分别对两组患者进行评定。结果干预后,情绪一社交孤独感问卷总分及情绪孤立、情绪孤独、社交孤立、社交孤独评分,观察组低于对照组,两组比较差异有统计学意义;阴性症状量表中情感平淡或迟钝、兴趣-社交缺乏评分,观察组低于对照组,差异有统计学意义。结论团体游戏能有效改善住院慢性精神分裂症患者的孤独感和部分阴性症状。Objective To observe the effect of group play on loneliness for inpatients with chronic schizophrenia. Method Divide 106 inpatients with chronic schizophrenia into observation group and control group by random number table equally. Patients in control group receive antipsychotic drug treatment and routine nursing care. Patients in observation group receive intervention of group play for 16 weeks based on routine treatment and nursing care. Assess patients in two groups by emotion--social loneliness scale, negative symptom scale and positive symptom scale before and after interven- tion. Result Total score on emotion--social loneliness scale and scores on emotion insulation, emotion loneliness, social in- sulation and social loneliness are all lower in observation group than in control group after intervention. The difference is significant. Scores on emotional flatness or dullness and lack of interest and social intercourse in negative symptom scale is lower in observation group than in control group. The difference is significant. Conclusion Group play can relieve loneliness and some negative symptoms for inpatients with chronic schizophrenia.

关 键 词：精神分裂症 孤独感 阴性症状 团体游戏 

分 类 号：R473.74[医药卫生—护理学]