目标导向的阶段性心理指导对精神分裂症患者病耻感、治疗依从性的影响  

Effect of goal-oriented staged psychological guidance on stigma and treatment compliance of patients with schizophrenia

作　　者：许杨 于秀梅 杨燕 薛欠欠 XU Yang;YU Xiumei;YANG Yan;XUE Qianqian(Rehabilitation Department,Suzhou City Second People's Hospital,Anhui Province,Suzhou 234000,China)

机构地区：[1]安徽省宿州市第二人民医院康复科,234000

出　　处：《中国健康心理学杂志》2023年第3期331-335,共5页China Journal of Health Psychology

摘　　要：目的:研究在常规干预基础上行基于目标导向的阶段性心理指导对精神分裂症患者病耻感和治疗依从性的影响。方法:选取某院2019年1月-2020年12月收治的86例精神分裂症患者,使用随机数字表法将患者简单随机分为观察组和对照组,每组43例患者,对照组患者接受常规干预,观察组患者在常规干预基础上行基于目标导向的阶段性心理指导,使用精神疾病患者病耻感量表中文版(SSMI-C)、一般自我效能感量表(GSES)、自尊量表(SES)以及自知力量表(SAI)治疗依从性维度等方法分析两组患者接受干预前后的病耻感、自尊、自我效果感以及治疗依从性。结果:接受干预后观察组患者歧视(t=2.303,P<0.05)、病情掩饰(t=3.274,P<0.05)、积极效应(t=3.096,P<0.05)以及总病耻感评分(t=4.042,P<0.05)显著降低,且歧视(t=2.114,P<0.05)、病情掩饰(t=3.007,P<0.05)、积极效应(t=2.636,P<0.05)以及总病耻感评分(t=3.622,P<0.05)显著低于对照组患者;接受干预后观察组患者GSES(t=3.918,P<0.05)和SES(t=7.748,P<0.05)评分显著增高,且GSES(t=3.470,P<0.05)和SES(t=6.555,P<0.05)评分高于对照组患者;接受干预后,观察组患者接受治疗(Uc=3.520,P<0.05)及主动要求治疗(Uc=5.298,P<0.05)评分显著升高,且接受治疗(Uc=3.533,P<0.05)及主动要求治疗(Uc=4.115,P<0.05)评分高于对照组患者。结论:基于目标导向的阶段性心理指导可以有效降低精神分裂症患者的病耻感并提高其治疗依从性。Objective:To study the effect of goal-oriented staged psychological guidance based on routine intervention on stigma and treatment compliance of patients with schizophrenia.Methods:A total of 86 patients with schizophrenia admitted to the hospital between January 2019 and December 2020 were selected.They were divided into observation group and control group by random number table method,with 43 cases in each.The control group received routine intervention,and the observation group received goal-oriented staged psychological guidance based on routine intervention.Stigma,self-esteem,self-efficacy,and treatment compliance of the two groups were evaluated by Chinese version of Stigma Scale for Mental Illness(SSMI-C),General Self-Efficacy Scale(GSES),Self-Esteem Scale(SES)and Schedule for Assessment of Insight(SAI)before and after intervention.Results:After intervention,the scores of discrimination(t=2.303,P<0.05),condition dissimulating(t=3.274,P<0.05)and positive effect(t=3.096,P<0.05),and total score of stigma(t=4.042,P<0.05)in observation group were significantly decreased,and significantly lower than those in control group(t=2.114,3.007,2.636,3.622;P<0.05).After intervention,the scores of GSES(t=3.918,P<0.05)and SES(t=7.748,P<0.05)in observation group were significantly increased,and higher than those in control group(t=3.470,6.555;P<0.05).After intervention,the scores of receiving treatment(Uc=3.520,P<0.05)and actively requesting treatment(Uc=5.298,P<0.05)in observation group were significantly increased,and higher than those in control group(Uc=3.533,4.115;P<0.05).Conclusion:The goal-oriented staged psychological guidance can effectively reduce stigma and improve treatment compliance in patients with schizophrenia.

关 键 词：精神分裂症 病耻感 治疗依从性 阶段性心理指导 目标导向 

分 类 号：R749.3[医药卫生—神经病学与精神病学]