穴位敷贴联合菜单式健康教育对精神分裂症患者康复效果的影响研究  

Effect of Acupoint Application Combined with Menu Health Education on Rehabilitation of Schizophrenic Patients

作　　者：赵青艳 吴湘 何素素 肖姗姗 李雯 黄佳倩 蒋雪 陈红涛[1] ZHAO Qingyan;WU Xiang;HE Susu;XIAO Shanshan;LI Wen;HUANG Jiaqian;JIANG Xue;CHEN Hongtao(School of Nursing,Hunan University of Chinese Medicine,Changsha Hunan 410208,China;School of Nursing,Shaoyang University,Shaoyang Hunan 422000,China)

机构地区：[1]湖南中医药大学护理学院,湖南长沙410208 [2]邵阳学院护理学院,湖南邵阳422000

出　　处：《中医药导报》2024年第4期101-104,110,共5页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：湖南省社会科学成果评审委员会课题(XSP21YBC261);长沙市2022年度指导性科技计划项目(kzd22010);湖南中医药大学校级科研项目(S2023XJYB13)。

摘　　要：目的:探讨穴位敷贴联合菜单式健康教育对精神分裂症患者康复效果的影响。方法:选取2023年1—10月收治的80例精神分裂症患者,按照随机数字表法将患者分为对照组、穴位敷贴组、菜单式健康教育组、穴位敷贴联合菜单式健康教育组(联合组),每组20例。比较干预前后4组患者的自知力与治疗态度问卷(ITAQ)、阳性与阴性症状量表(PANSS)、简明精神分裂症认知评估测验(BACS)、中文版匹兹堡睡眠质量指数量表(PSQI)评分。结果:干预4周后,4组患者ITAQ、BACS评分均高于干预前(P<0.05),联合组患者ITAQ、BACS评分均高于其他3组(P<0.05),穴位敷贴组、菜单式健康教育组患者ITAQ、BACS评分均高于对照组(P<0.05)。干预4周后,4组患者PANSS、BACS评分均低于干预前(P<0.05),联合组患者PANSS、PSQI评分均低于其他3组(P<0.05),穴位敷贴组、菜单式健康教育组患者PANSS、PSQI评分均低于对照组(P<0.05)。结论:穴位敷贴联合菜单式健康教育能有效提高精神分裂症患者的自知力、认知水平,改善其精神症状与睡眠质量,具有临床推广价值。Objective:To explore the effect of acupoint application combined with menu health education on the rehabilitation of patients with schizophrenia.Methods:A total of 80 schizophrenic patients from January 2023 to October 2023 were selected and divided into control group,acupoint application group,menu health education group and combination group(acupoint application combined with menu health education group)according to random number table method,with 20 cases in each group.The scores of self-awareness and treatment attitude questionnaire(ITAQ),positive and negative symptom scale(PANSS),brief schizophrenia Cognitive Assessment Test(BACS)and Chinese version of Pittsburgh Sleep Quality Index(PSQI)were compared before and after the intervention.Results:Afer 4 weeks of intervention,the ITAQ and BACS scores of the 4 groups of patients were higher than before treatment(P<0.05).The ITAQ and BACS scores of the combination group were higher than those of the other 3 groups(R<0.05).The ITAQ and BACS scores of the acupoint application group and menu health education group were higher than those of the control group(P<0.05).After 4 weeks of intervention,the PANSS and BACS scores of the 4 groups of patients were lower than before treatment(P<O.05),while the PANSS and PSQI scores of the combination group were lower than those of the other 3 groups(P<0.05).The PANSS and PSQI scores of the acupoint application group and menu health education group were lower than those of the control group(P<0.05).Conclusion:Acupoint application combined with menu health education can effectively improve the self-knowledge and cognitive level of schizophrenia patients,improve their mental symptoms and sleep quality,and have clinical popularization value.

关 键 词：精神分裂症 穴位敷贴 菜单式健康教育 康复 临床研究 

分 类 号：R246.6[医药卫生—针灸推拿学]