家属介入社会认知交互训练对精神分裂症患者自尊和应对方式的影响  

Effects of family intervention in social cognition and interaction training on self-esteem and coping style of schizophrenic patients

作　　者：王永平[1] 章秋萍[1] 刘书陪 应通 何香娟[1] WANG Yongping;ZHANG Qiuping;LIU Shupei;YING Tong;HE Xiangjuan(The 2nd Department of Psychiatry,The Seventh People’s Hospital of Hangzhou,Hangzhou 310013,China)

机构地区：[1]杭州市第七人民医院精神二科,浙江杭州310013

出　　处：《健康研究》2020年第4期404-408,共5页Health Research

摘　　要：目的探讨家属介入社会认知交互训练(social cognition and interaction training,SCIT)对精神分裂症患者自尊和应对方式的影响,为精神分裂症患者的自尊水平和应对方式提高提供依据。方法60例缓解期精神分裂症患者按随机数字表法分为对照组30例和观察组30例,均接受抗精神病药物治疗和常规护理,2组患者及观察组中的家属接受SCIT干预,6个月后采用家庭环境量表(family environment scale-Chinese version,FES-CV)、自尊量表(self-esteem scale,SES)和简易应对方式量表(simplified coping style questionnaire,SCSQ)进行评定。结果干预后,观察组FES-CV亲密度、成功性、独立性、知识性、娱乐性、情感表达评分高于干预前及对照组,矛盾性、控制性评分低于干预前及对照组,差异均有统计学意义(P<0.05)。干预后,观察组SES总分、SCSQ积极应对总分高于干预前和对照组,消极应对总分低于干预前及对照组,差异均有统计学意义(P<0.01)。结论家属介入实施SCIT能够改善精神分裂症患者的家庭环境,提高精神分裂症患者的自尊水平和应对方式。Objective To explore the effects of family intervention in social cognition and interaction training on self-esteem and coping style of schizophrenic patients.Methods Sixty remitted schizophrnia patients and their parents were randomly divided into control group(30 cases)and observation group(30 cases).All patients received antipsychotic and routine nursing,and the patients in the two groups and the parents in the observation group got SCIT intervention.After 6 months,the results of FES-CV,SES,SCSQ were compared.Results After intervention,the subscales score of FES-CV(intimacy,success,independence,knowledge,entertainment,emotional expression,contradictory and control)in the observation group were significantly improved(P<0.05),and were superior than the control group(P<0.05).SES was also increased after intervention,also better than the control group(P<0.01).After intervention,the SCSQ positive coping score was higher and the negative coping score was lower than baseline in the observation group,and the two subscales were superior than the control group(P<0.01).Conclusions The family intervention in SCIT can significantly improve the family environment,self-esteem and coping style in patients with schizophrenia.

关 键 词：家属介入 社会认知交互训练 精神分裂症 自尊 应对方式 

分 类 号：R473.74[医药卫生—护理学]