综合心理行为护理对后续精神分裂症患者负性情绪和认知功能的影响  

Effect of Comprehensive Psychological and Behavioral Care on Negative Emotions and Cognitive Function in Subsequent Schizophrenia Patients

作　　者：孙艳红[1] 张燕[1] 王静[1] Sun Yanhong;Zhang Yan;Wang Jing(The First Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450052,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450052

出　　处：《齐鲁护理杂志》2024年第9期31-34,共4页Journal of Qilu Nursing

摘　　要：目的:探讨综合心理行为护理对精神分裂症后续情绪行为反应和功能情况的影响。方法:选择2022年10月1日~2023年11月30日收治的248例精神分裂症患者,根据随机数字表法分为对照组和研究组各124例,两组均按照医嘱服用药物治疗,对照组采用常规护理,研究组采用综合心理行为护理;比较两组护理前后认知功能[采用MATRICS共识认知成套测验(MCCB)]、负性情绪[采用焦虑自评量表(SAS)、抑郁自评量表(SDS)],患者对护理的满意度。结果:护理后,研究组MCCB中语言流畅性、连线、数字序列、空间广度、语言记忆、持续操作管理、情绪管理维度均高于护理前(P<0.01,P<0.05),对照组语言流畅性、连线、数字序列、空间广度、持续操作管理、情绪管理维度评分均高于护理前(P<0.01,P<0.05),研究组语言流畅性、连线、数字序列、空间广度、语言记忆、视觉记忆、持续操作管理、情绪管理维度评分均高于对照组(P<0.01,P<0.05);护理后,两组SDS、SAS评分均低于护理前(P<0.01),且研究组低于对照组(P<0.01);研究组患者对护理的满意度高于对照组(P<0.01)。结论:综合心理行为护理对后续神经分裂症患者负性情绪、认知功能均具有改善作用,提高患者对护理的满意度。Objective:To explore the effect of comprehensive psychological and behavioral care on the subsequent emotional and behavioral responses and functional status of subsequent schizophrenia patients.Methods:A total of 248 patients with schizophrenia admitted from October 1,2022 to November 30,2023 were randomly divided into control group and study group,with 124 patients in each group.Both groups were treated with medication according to medical advice,while the control group received routine care and the study group received comprehensive psychological care.Cognitive function[using the MATRICS Consensus Cognitive Battery(MCCB)],negative emotions[using the Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)],and assess patient satisfaction with nursing were compared before and after nursing between two groups.Results:After nursing,the scores of MCCB(language fluency,connectivity,number sequence,spatial breadth,language memory,continuous operation management,and emotional management dimensions)in the study group were all higher than before nursing(P<0.01,P<0.05),while the scores of MCCB in the control group were all higher than before nursing(P<0.01,P<0.05).The scores of MCCB in the study group were all higher than those in the control group(P<0.01,P<0.05).After nursing,the SDS and SAS scores of both groups were lower than before nursing(P<0.01),and the study group was lower than the control group(P<0.01).The satisfaction of patients in the study group with nursing care was higher than that in the control group(P<0.01).Conclusion:Comprehensive psychological and behavioral care has an improvement effect on negative emotions and cognitive function in patients with subsequent schizophrenia,increasing patient satisfaction with nursing.

关 键 词：综合心理行为 护理 后续 精神分裂症 负性情绪 认知功能 

分 类 号：R473.74[医药卫生—护理学]