团体怀旧疗法对精神分裂症患者主要照顾者病耻感的影响  

Effects of group reminiscence therapy on stigma perception among caregivers of patients with schizophrenia

作　　者：王意兰[1] 王淑敏 郦丽华[1] Wang Yilan;Wang Shumin;Li Lihua(Department of Nursing,Shaoxing 7th People's Hospital,Zhejiang Province,Shaoxing 312000,China)

机构地区：[1]浙江省绍兴市第七人民医院护理部,绍兴312000

出　　处：《中华现代护理杂志》2019年第19期2479-2483,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨团体怀旧疗法对精神分裂症患者主要照顾者病耻感的影响。方法选取2015年3月—2018年3月就诊于绍兴市第七人民医院的180名精神分裂症患者主要照顾者为研究对象,按照随机数字表法将其分为试验组(n=90)和对照组(n=90)。对照组接受常规健康宣教,试验组在常规健康宣教的基础上接受为期8周、每周1次、每次60~90 min的团体怀旧疗法。于干预前和干预8周后采用病耻感量表(ISMI)对照顾者的病耻感水平进行测评。结果干预前,两组照顾者的病耻感各维度得分及总分的差异均无统计学意义(P>0.05);干预后,两组照顾者的病耻感总分和疏远因子、刻板因子、歧视因子、抵抗因子和退缩因子5个维度得分差异有统计学意义(P<0.01)。结论团体怀旧疗法能有效降低精神分裂症患者主要照顾者的病耻感水平,提高其身心健康。Objective To explore the influence of group reminiscence therapy on stigma perception among caregivers of patients with schizophrenia. Methods From March of 2015 to March of 2018, the caregivers of 180 patients with schizophrenia admitted in Shaoxing 7th People's Hospital were selected and divided into the observation group (n=90) and control group (n=90) based on random number table. The control group received routine health education. Apart from that, the observation group received the group reminiscence therapy once a week, 60 to 90 min each time for 8 weeks. Internalized Stigma of Mental Illness Scale (ISMI) was used to assess the level of stigma perception before and 8 weeks after intervention. Results Before intervention, the caregivers of the two groups had no statistical difference in the total score and the score of each dimensions of the stigma perception (P>0.05). After intervention, there were statistical differences between the two groups in the total score of stigma perception as well as the scores from the five dimensions of "distance factor","stereotype factor","discrimination factor","resistance factor" and "withdrawal factor"(P<0.01). Conclusions The group reminiscence therapy could effectively reduce the level of stigma perception among caregivers of patients with schizophrenia, and improve their physical and mental health.

关 键 词：精神分裂症 照顾者 病耻感 团体怀旧疗法 健康教育 

分 类 号：R473.74[医药卫生—护理学]