改良式“重返社区技能训练”联合支持性心理护理干预对精神分裂症患者心理弹性与社会知觉的影响  

Effects of modified"returning to community skills training"combined with supportive psychological nursing intervention on mental resilience and social perception of schizophrenics

作　　者：耿晓娣 李玉华 刘筱雯 GENG Xiao-di;LI Yu-hua;LIU Xiao-wen(Department of Psychiatry,Shanghai Baoshan District Mental Health Center,Shanghai 200000,CHINA;Department of Encephalopathy,Shanghai Jing'an District Hospital of Traditional Chinese Medicine,Shanghai 200000,CHINA)

机构地区：[1]上海市宝山区精神卫生中心精神科,上海200000 [2]上海市静安区中医医院脑病科,上海200000

出　　处：《海南医学》2022年第22期2962-2966,共5页Hainan Medical Journal

摘　　要：目的探讨改良式“重返社区技能训练”联合支持性心理护理干预对精神分裂症患者心理弹性与社会知觉的影响。方法选取2019年3月至2021年3月期间上海市宝山区精神卫生中心收治的精神分裂症患者120例作为研究对象,依据简单随机法分为对照组和观察组,每组60例。对照组患者予以常规临床干预,观察组患者在此基础上予以改良式“重返社区技能训练”联合支持性心理护理干预,两组均干预两周。干预前后,采用心理弹性量表(CD-RISC)评估患者的心理弹性,采用社会功能缺陷筛选量表(SDSS)评价患者的社会知觉,采用自知力与治疗态度问卷表(ITAQ)评价患者的自知力及依从性,采用世界卫生组织生存质量简表(WHOQOL-BRIEF)评估患者的生活满意度。结果干预后,观察组患者CD-RISC中的坚韧、自强、乐观评分分别为(32.55±4.38)分、(23.04±3.56)分、(11.35±2.34)分,明显高于对照组的(28.42±4.26)分、(20.19±3.35)分、(9.53±2.01)分,差异均具有统计学意义(P<0.05);干预后,观察组患者的SDSS评分为(12.39±2.09)分,明显低于对照组的(13.26±2.11)分,ITAQ评分(15.89±2.17)分,明显高于对照组的(14.58±2.23)分,差异均具有统计学意义(P<0.05);干预后,观察组患者WHOQOL-BRIEF中的生理、心理、社会、环境各维度评分分别为(20.85±2.27)分、(21.41±2.37)分、(9.43±2.04)分、(23.88±2.28)分,明显高于对照组的(19.27±2.31)分、(19.05±2.32)分、(8.03±2.01)分、(21.66±2.34)分,差异均具有统计学意义(P<0.05)。结论改良式“重返社区技能训练”联合支持性心理护理干预可有效改善精神分裂症患者的社会知觉,增强其心理弹性,改善患者自知力和治疗依从性,提高其生活满意度。Objective To explore the effect of modified"returning to community skills training"combined with supportive psychological nursing intervention on mental resilience and social perception of patients with schizophrenia.Methods A total of 120 schizophrenic patients admitted to Shanghai Baoshan District Mental Health Center from March 2019 to March 2021 were selected as research objects.All patients were divided into a control group and an observation group according to simple random method,with 60 patients in each group.The patients in the control group were given routine clinical intervention,and the patients in the observation group were given improved"returning to community skills training"combined with supportive psychological nursing intervention on this basis.Both groups were intervened for 2 weeks.Before and after the intervention,Connor-Davidson resilience scale(CD-RISC)was used to evaluate the psychological elasticity of the patients,and the Social Deficit Screening Scale(SDSS)was used to evaluate the social perception of the patients,and the Insight and Treatment Attitude Questionnaire(ITAQ)was used to evaluate the patients'self-knowledge and compliance,and the life satisfaction of patients were assessed by the World Health Organization Quality of Life-BRIEF(WHOQOL-BRIEF).Results After intervention,the scores of tenacity,self-improvement,and optimism of CD-RISC in the observation group were(32.55±4.38)points,(23.04±3.56)points,(11.35±2.34)points,which were significantly higher than(28.42±4.26)points,(20.19±3.35)points,(9.53±2.01)points in the control group(P<0.05).After intervention,the SDSS score in the observation group was(12.39±2.09)points,which was significantly lower than(13.26±2.11)points in the control group,and ITAQ score was(15.89±2.17)points,significantly higher than(14.58±2.23)points in the control group(P<0.05).After the intervention,the scores of physical,psychological,social and environmental dimensions in the WHOQOL-BRIEF of the observation group were(20.85±2.27)points,(21.41±2.

关 键 词：改良式“重返社区技能训练” 支持性心理护理 精神分裂症 心理弹性 社会知觉 

分 类 号：R473.74[医药卫生—护理学]