基于干预映射理论框架的干预模式对男性精神分裂症患者精神症状和冲动行为的影响  

Influence of intervention model based on intervention mapping theory framework on mental symptoms and impulsive behavior of male schizophrenic patients

作　　者：李瑞文 闵春斐 孙琳 袁琼 LI Ruiwen;MIN Chunfei;SUN Lin;YUAN Qiong(Department of Psychiatry,Mental Health Center Affiliated to School of Medicine of Shanghai Jiao Tong University,Shanghai,200030)

机构地区：[1]上海交通大学医学院附属精神卫生中心精神科,上海200030

出　　处：《实用临床医药杂志》2023年第22期90-94,共5页Journal of Clinical Medicine in Practice

基　　金：上海市科学技术委员会科研计划项目(17411970100)。

摘　　要：目的探讨基于干预映射理论框架的干预模式对男性精神分裂症患者精神症状和冲动行为的影响。方法选取80例精神分裂症患者为研究对象,按照随机数字表法分为对照组和观察组,将实施精神科常规干预模式的40例患者纳入对照组,实施基于干预映射理论框架的干预模式的40例患者纳入观察组。比较2组自知力状态[自知力及治疗态度问卷(ITAQ)]、精神症状[阳性与阴性症状量表(PANSS)]、心理状态[心理弹性量表(CD-RISC)及自尊量表(SES)]及冲动行为[住院患者护士观察量表(NOSIE)]。结果干预后,2组ITAQ总分及各维度评分均升高,且观察组高于对照组,差异有统计学意义(P<0.05);2组PANSS总分及各维度评分均下降,且观察组低于对照组,差异有统计学意义(P<0.05)。干预后,观察组CD-RISC评分及SES评分均高于对照组,差异有统计学意义(P<0.05)。观察组NOSIE各维度评分低于对照组,冲动行为发生率低于对照组,差异有统计学意义(P<0.05)。结论基于干预映射理论框架的干预模式能够提高男性精神分裂症患者自知力,改善其精神症状和心理状态,有效降低其冲动行为发生率。Objective To explore the effect of intervention model based on the framework of intervention mapping theory on psychiatric symptoms and impulsive behavior of male schizophrenic patients.Methods A total of 80 patients with schizophrenia were selected as study objects.According to the random number table method,the patients were randomly divided into control group and observation group,with 40 cases in each group.The control group was given routine psychiatric intervention model,and the observation group was given intervention model based on intervention mapping theoretical framework on the basis of routine intervention.The insight status[Insight and Treatment Attitude Questionnaire(ITAQ)],psychiatric symptoms[Positive and Negative Syndrome Scale(PANSS)],psychological status[Connor-Davidson Resilience Scale(CD-RISC)and Self-esteem Scale(SES)]and impulsive behavior[Nurses Observation Scale for Inpatients(NOSIE)]were compared between the two groups.Results After intervention,the total score of ITAQ and the score of each dimension in the two groups increased,and were higher in the observation group than those in the control group(P<0.05).The total score of PANSS and the score of each dimension of the two groups decreased,and were lower in the observation group than those in the control group(P<0.05).After intervention,the scores of CD-RISC and SES in the two groups increased(P<0.05).The scores of NOSIE and the incidence of impulsive behavior in the observation group were lower than those in the control group(P<0.05).Conclusion The intervention model based on the intervention mapping theory framework can improve the insight state of male schizophrenic patients,improve their mental symptoms and psychological state,and effectively reduce the incidence of impulsive behavior.

关 键 词：精神分裂症 男性 干预映射 精神症状 冲动行为 阳性与阴性症状量表 心理弹性量表 

分 类 号：R454[医药卫生—治疗学] R473.74[医药卫生—临床医学] R749.3