长期住院精神分裂症患者戒烟管理的跨理论模型研究  

Study on trans-theoretical model for smoking cessation management in long-term hospitalized schizophrenia patients

作　　者：葛网平 戴萍 GE Wangping;DAI Ping(Rehabilitation Department,Yangzhou Wutaishan Hospital of Jiangsu Province,Yangzhou,Jiangsu,225003)

机构地区：[1]江苏省扬州五台山医院康复科,江苏扬州225003

出　　处：《实用临床医药杂志》2022年第11期71-75,共5页Journal of Clinical Medicine in Practice

摘　　要：目的探讨跨理论模型结合认知行为干预对长期住院精神分裂症患者戒烟过程中焦虑情绪、睡眠质量、时点戒烟率的影响。方法选取扬州五台山医院康复科五病区、六病区(均为男性病区)各40例长期住院并吸烟的精神分裂症患者作为研究对象,并分别纳入对照组、观察组。对照组采用常规戒烟管理模式,观察组在对照组基础上采用跨理论模型结合认知行为干预,均干预3个月。观察2组患者干预前后焦虑情绪、睡眠质量和干预3个月后的时点戒烟率。结果干预前,2组患者焦虑自评量表(SAS)评分、匹兹堡睡眠质量指数量表(PSQI)评分比较,差异无统计学意义(P>0.05);干预3个月后,观察组SAS评分、PSQI评分低于对照组,差异有统计学意义(P<0.01);干预3个月后,观察组的时点戒烟率为75.00%(30/40),高于对照组的40.00%(16/40),差异有统计学意义(χ^(2)=10.026,P=0.002)。结论跨理论模型结合认知行为干预可改善长期住院精神分裂症吸烟患者因戒烟管理而产生的焦虑情绪,并可改善其睡眠质量,提高时点戒烟率。Objective To explore the effects of trans-theoretical model combined with cognitive behavioral intervention on anxiety,sleep quality,and smoking cessation rate at differed time points of long-term hospitalized mental patients during smoking cessation.Methods A total of 40 schizophrenia patients with long-term hospitalization and smoking in fifth and sixth male wards of Wutaishan Hospital were selected as study objects,and were included in observation group(n=40)and control group(n=40),respectively.The control group implemented conventional smoking cessation management,while the observation group applied trans-theoretical model combined with three cognitive behavior intervention,and the intervention of two groups lasted for 3 months.The anxiety and sleep quality before and after the intervention and time-point smoking cessation rate after 3-month intervention of two groups were observed.Results Before intervention,there was no significant difference in Self-rating Anxiety Scale(SAS)score and Pittsburgh Sleep Quality Index(PSQI)score between two groups(P>0.05).Three months after intervention,SAS and PSQI scores in the observation group were lower than those in the control group(P<0.01).Three months after intervention,the time-point smoking cessation rate in the observation group was 75.00%(30/40),which was higher than 40.00%(16/40)in the control group(χ^(2)=10.026,P=0.002).Conclusion The trans-theoretical model combined with cognitive behavioral intervention can improve the anxiety induced by management of smoking cessation,improve their sleep quality,and increase time-point smoking cessation rate.

关 键 词：跨理论模型 认知行为干预 精神分裂症 戒烟管理 睡眠质量 时点戒烟率 

分 类 号：R749.3[医药卫生—神经病学与精神病学] R749.7[医药卫生—临床医学]