阅读疗法改善康复期精神分裂症患者病耻感和社会功能的随机对照研究  

A comparative study of bibliotherapy to improve stigma and social function for patients with schizophrenia in rehabilitation

作　　者：徐兴红[1] 吴玉峰 刘玉蓉[3] Xu Xinghong;Wu Yufeng;Liu Yurong(Department of Physical Therapy,Shandong Mental Health Center,Jinan 250014,China;The 5th Psychiatric Ward,Shandong Mental Health Center,Jinan 250014,China;Department of Outpatient,Shandong Mental Health Center,Jinan 250014,China)

机构地区：[1]山东省精神卫生中心物理治疗科,济南250014 [2]山东省精神卫生中心精神五科,济南250014 [3]山东省精神卫生中心门诊部,济南250014

出　　处：《中国实用护理杂志》2022年第9期641-647,共7页Chinese Journal of Practical Nursing

摘　　要：目的探讨阅读疗法改善精神分裂症患者的病耻感和社会功能的效果。方法选取2018年6月至2020年6月在山东省精神卫生中心住院的115例康复期精神分裂症患者,按照随机数字表法分成研究组58例和对照组57例。2组患者在维持原抗精神病药物治疗及常规护理基础上,研究组增加阅读疗法进行干预,共干预12周。在干预前、干预后分别应用中文修订版Link病耻感量表(LDS)、住院精神病患者康复疗效评定量表(IPROS)等评定2组干预效果。结果2组干预前LDS、IPROS各因子评分及总分比较差异无统计学意义(P>0.05)。干预后,研究组的LDS各因子评分及总分分别为(29.08±3.25)、(63.69±4.09)、(12.54±2.15)、(105.31±5.22)分,低于对照组的(37.17±3.41)、(74.00±4.63)、(20.17±2.89)、(131.33±8.51)分,差异有统计学意义(t值为5.91~9.30,均P<0.05)。干预后,研究组的IPROS各因子评分及总分分别为(3.92±1.32)、(5.38±1.56)、(5.15±1.63)、(4.69±1.44)、(4.46±1.66)、(23.62±3.31)分,低于对照组的(5.58±2.11)、(7.33±2.67)、(6.83±1.12)、(6.75±2.73)、(6.42±2.31)、(32.92±5.07)分,差异有统计学意义(t值为2.25~5.48,均P<0.05)。结论阅读疗法可有效改善康复期精神分裂症患者的病耻感和社会功能状况。Objective To explore the efficacy of bibliotherapy to improve stigma and social function for patients with schizophrenia in rehabilitation.Methods From June,2018 to June,2020 at Shandong Mental Health Center,a total of 115 patients with schizophrenia in rehabilitation were randomly divided into study group(58 cases)and control group(57 cases).The study group received bibliotherapy and the control group received general rehabilitation nursing based on original antipsychotic treatment and routine nursing.They were assessed with Link Disgrace Scale(LDS)and Inpatient Psychiatric Rehabilitation Outcome Scale(IPROS)before and after intervention.Results There was no significant difference in the scores of all factors and total scores of LDs and IPROS before intervention between the two groups(P>0.05).After intervention,the scores of all factors and total scores of LDS in the study group were 29.08±3.25,63.69±4.09,12.54±2.15,105.31±5.22 respectively,which were lower than those in the control group 37.17±3.41,74.00±4.63,20.17±2.89,131.33±8.51,there were significant differences between the two groups(t values were 5.91-9.30,all P<0.05).After intervention,the scores of all factors and total scores of IPROS in the study group were 3.92±1.32,5.38±1.56,5.15±1.63,4.69±1.44,4.46±1.66,23.62±3.31 respectively,which were lower than those in the control group 5.58±2.11,7.33±2.67,6.83±1.12,6.75±2.73,6.42±2.31,32.92±5.07,there were significant differences between the two groups(t values were 2.25-5.48,all P<0.05).Conclusions Bibliotherapy can effectively improve the stigma and social function of patients with schizophrenia in rehabilitation.

关 键 词：阅读疗法 精神分裂症 康复期 病耻感 社会功能 

分 类 号：R473.74[医药卫生—护理学]