聚焦解决模式联合心理护理对精神分裂症恢复期患者服药依从性的影响  

The Effect of Focused Solution Mode Combined with Psychological Nursing on Medication Compliance of Patients with Schizophrenia in Recovery Period

作　　者：徐文惠[1] XU Wenhui(Tiexi District Mental Health Center,Shenyang 110000,China)

机构地区：[1]沈阳市铁西区精神卫生中心二疗科,辽宁沈阳110000

出　　处：《中国医药指南》2022年第3期114-116,共3页Guide of China Medicine

摘　　要：目的探讨聚焦解决模式联合心理护理对住院精神分裂症恢复期患者服药依从性的影响。方法将2019年6月至2020年6月我院收治住院的精神分裂症患者100例,按照是否有意参加心理护理分组,最终完成研究的病例数试验组是46例,对比组是48例。对比组行常规病房护理措施,试验组在常规病房护理措施基础上行聚焦解决模式联合心理护理干预。比较干预前后两组服药信念量表(BMQ)子量表评分、BPRS量表评分差异,并分析与比较两组的依从性。结果干预后,试验组服药顾虑评分低于对比组,但数据比较无明显差异(P>0.05);试验组服药必要性评分明显高于对比组,数据比较有明显差异(P<0.05)。干预后,两组BPRS量表各维度评分均降低,且试验组焦虑抑郁、敌对猜疑、缺乏活力、思维障碍、激活性评分均低于对比组(P<0.05);试验组依从性高于对比组,数据比较有明显差异(P<0.05)。结论聚焦解决模式联合心理护理可以有效提高服药必要性信念,降低服药顾虑信念,提高整体服药依从性,同时也改善了患者的精神症状。Objective To explore the effect of focused solution mode combined with psychological nursing on medication compliance of inpatients with schizophrenia during recovery period.Methods One hundred patients with schizophrenia admitted to our hospital from June 2019 to June 2020 were divided into groups according to whether they were interested in participating in psychological care.The number of cases that finally completed the study was 46 in the test group and 48 in the control group.The control group performed conventional ward nursing measures,and the test group followed the conventional ward nursing measures with a focus on solution mode combined with psychological nursing intervention.The differences in the scores of the medication belief scale(BMQ)subscale and BPRS scale between the two groups before and after the intervention were compared,and the compliance of the two groups was analyzed and compared.Results After the intervention,the medication concern score of the test group was lower than that of the control group,but there was no significant difference in the data(P>0.05);the medication necessity score of the test group was significantly higher than that of the control group,and the data were significantly different(P<0.05).After the intervention,the scores of all dimensions of the BPRS scale of the two groups were reduced,and the test group's anxiety,depression,suspicion,lack of vitality,thinking disorder,and activation scores were lower than those of the control group(P<0.05);the test group's compliance was higher than the control group,the data were significantly different(P<0.05).Conclusion The focused solution model combined with psychological care can effectively improve the belief in the necessity of taking medication,reduce the belief in medication concern,improve the overall medication compliance,and also improve the patient's mental symptoms.

关 键 词：精神分裂症 聚焦解决模式联合心理护理 恢复期 服药依从性 

分 类 号：R473.74[医药卫生—护理学] R749.3[医药卫生—临床医学]