叙事疗法对精神分裂症患者病耻感和自尊的影响  

Effect of narrative therapy on stigma and self-esteem in patients with schizophrenia

作　　者：向彦琪 黄庆年 莫芬[1,2] 王彩云[1,2] 张桔红[1,2] 刘素芳[1,2] 张展筹[1,2] Xiang Yanqi;Huang Qingnian;Mo Fen;Wang Caiyun;Zhang Juhong;Liu Sufang;Zhang Zhanchou(Clinical Nursing Teaching and Research Section,The Second Xiangya Hospital of Central South University,Changsha 410011,China)

机构地区：[1]中南大学湘雅二医院临床护理学教研室,湖南长沙410011 [2]中南大学湘雅二医院国家精神疾病医学中心

出　　处：《护理学杂志》2024年第1期84-87,97,共5页Journal of Nursing Science

基　　金：中南大学湘雅二医院2021年度临床护理科研基金项目(2021-HLKY-13)。

摘　　要：目的评价叙事疗法对精神分裂症患者内在病耻感、自尊的影响。方法将100例住院治疗的精神分裂症患者随机分为叙事组和对照组,各50例。对照组接受常规护理,叙事组在常规护理基础上接受6次面对面叙事疗法干预,比较两组干预前后精神疾病内在病耻感量表和自尊量表得分情况。结果叙事组45例、对照组46例完成研究。干预后,两组病耻感总分较前下降、自尊得分较前提升(均P<0.05);叙事组病耻感得分显著低于对照组、自尊得分显著高于对照组(均P<0.05)。结论叙事疗法有助于减轻精神分裂症患者的病耻感,提高自尊。Objective To evaluate the effect of narrative therapy on stigma and self-esteem of patients with schizophrenia.Methods One hundred schizophrenic patients who were hospitalized in the psychiatric department were randomized into a control group or a narrative group,with 50 in each group,receiving either routine care or 6 sessions of face-to-face narrative therapy,respectively.The Internalized Stigma of Mental Illness scale and the Self-Esteem Scale were used to compare the effect.Results A total of 45 cases in the narrative group and 46 in the control group completed the study.After the intervention,the scores of internalized stigma decreased and self-esteem increased in both groups(both P<0.05).The narrative group exhibited significantly lower stigma score and higher self-esteem score compared with the control group after the intervention(both P<0.05).Conclusion Narrative therapy can effectively alleviate stigma and improve self-esteem of patients with schizophrenia.

关 键 词：精神分裂症 叙事疗法 叙事护理 病耻感 自尊 故事理论 心理康复 心理护理 

分 类 号：R473.74[医药卫生—护理学] R749.3[医药卫生—临床医学]