自我决定动机对精神分裂症患者康复治疗影响的研究进展  

Recent Advances in Self-determined Motivation towards Rehabilitation Treatment in Schizophrenia Patients

作　　者：于凯 王宇 王伟梁 周郁秋[1] YU Kai;WANG Yu;WANG Weiliang;ZHOU Yuqiu(School of Nursing,Harbin Medical University,Harbin 150076,China)

机构地区：[1]哈尔滨医科大学护理学院,黑龙江省哈尔滨市150076

出　　处：《中国全科医学》2022年第21期2675-2679,共5页Chinese General Practice

基　　金：国家自然科学基金面上项目(72074063)。

摘　　要：精神分裂症是严重危害患者及其家人、社会的重型精神疾病,超80%的患者无法完全康复。精神分裂症迁延难愈的原因之一是患者治疗动机的缺乏,但目前国内有关精神分裂症患者治疗动机的研究较少。自我决定动机有利于个体积极情感、行为及认知的发展,在促进个体健康行为中发挥着重要的作用。本文通过查阅国内外已有研究报道,探讨了精神分裂症患者自我决定动机的特征及测量方法,发现其在认知矫正治疗、体育治疗等针对精神分裂症患者的康复治疗中起到预测并维持患者治疗行为的作用。针对目前尚待解决的问题,未来研究可考虑从精神分裂症患者的自我决定动机出发,制订精准干预措施,从而改善患者的治疗依从性,提高治愈率。Schizophrenia is a severe mental disorder that endangers patients and their families’lives as well as the society.Over 80%of patients cannot be cured completely,one contributor to which is patients’lack of self-determined motivation for treatment.There are few studies on self-determined motivation for treatment among patients with schizophrenia in China.Self-determined motivation facilitates the development of positive emotions,behaviors and cognition,which also plays a vital role in the promotion health-related behaviors.We reviewed the latest advances in self-determined motivation towards rehabilitation treatment in schizophrenia patients,and gave a summary of the features and measurement methods regarding self-determined motivation,as well as its roles in predicting the effect of cognitive remediation,physical therapy and other types of rehabilitation treatment,and in maintaining treatment adherence.After that,we made suggestions on the problems to be solved.To improve treatment adherence and cure rate in schizophrenia patients,future studies may focus on developing appropriate interventions in accordance with the self-determined motivation of the patients.

关 键 词：精神分裂症 认知行为疗法 精神康复 体育康复 治疗 综述 动机 自我决定动机 

分 类 号：R749.3[医药卫生—神经病学与精神病学]