以复元为导向的家庭心理健康教育干预对缓解期精神分裂症患者社会支持和家庭韧性的影响  

The impact of the recovery-oriented family psychoeducation on social support and family resilience in patients with schizophrenia in remission stage

作　　者：付聪 陆惠洁[2] 胡卫红[1] 周爽 王丽华[4] Fu Cong;Lu Huijie;Hu Weihong;Zhou Shuang;Wang Lihua(Department of Geriatrics 2,Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 201108,China;Department 2 of Nursing,Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 201108,China;Department of Addiction Medicine,Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 201108,China;Department of Clinical 9,Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 201108,China)

机构地区：[1]上海交通大学医学院附属精神卫生中心老年二科,上海201108 [2]上海交通大学医学院附属精神卫生中心护理二科,上海201108 [3]上海交通大学医学院附属精神卫生中心成瘾医学科,上海201108 [4]上海交通大学医学院附属精神卫生中心临床九科,上海201108

出　　处：《中国实用护理杂志》2024年第21期1621-1627,共7页Chinese Journal of Practical Nursing

基　　金：上海市精神卫生中心课题(2020-TX-013)。

摘　　要：目的探索以复元为导向的家庭心理健康教育干预对缓解期精神分裂症患者的社会支持和家庭韧性水平的影响,为临床应用提供理论依据。方法采用随机对照试验方法,便利抽样法选取2020年4月至2022年3月在上海交通大学医学院附属精神卫生中心门诊就诊的60例缓解期精神分裂症患者为研究对象,按患者的居住所在地分为试验组和对照组各30例,对照组给予常规的健康教育;试验组给予复元为导向的家庭心理健康教育,干预前和干预3个月后,采用社会支持评定量表和家庭复原力问卷评价干预效果。结果最终共纳入60例患者,对照组男13例,女17例,年龄(27.0±6.5)岁;试验组男14例,女16例,年龄(28.0±5.6)岁。干预后,试验组患者社会支持评定量表主观支持、客观支持、对社会支持利用维度得分分别为(14.33±3.36)、(8.43±1.63)、(9.60±2.49)分,对照组分别为(16.20±3.83)、(10.00±2.59)、(8.33±2.28)分,差异均有统计学意义(t=2.00、2.80、-2.05,均P<0.05);干预后,试验组家庭复原力问卷总分及坚毅性、支持性、和睦性维度得分分别为(78.77±9.61)、(24.90±3.07)、(15.10±2.23)、(23.63±3.04)分,高于对照组的(72.67±15.96)、(23.43±4.92)、(14.03±3.60)、(21.13±5.13)分,差异均有统计学意义(t值为-2.29~-1.37,均P<0.05)。结论以复元为导向的家庭心理健康教育提高了对缓解期精神分裂症患者社会支持程度和家庭韧性水平。Objective Exploring the effect of recovery-oriented family psychoeducation on the level of social support and family resilience of patients with schizophrenia in remission stage,providing theoretical basis for clinical application.Methods Using a randomized controlled trial method and convenience sampling method,60 patients with schizophrenia in remission who visited the outpatient department of the Affiliated Mental Health Center of Shanghai Jiao Tong University School of Medicine from April 2020 to March 2022 were selected as the study subjects,and they were divided into experimental group and control group,with 30 patients in each group according to their residence places.The control group was given routine health education;the experimental group was given the rehabilitation oriented family psychoeducation,before intervention and 3 months after intervention,Social Support Rating Scale and Family Resilience Questionnaire were used to evaluate the intervention effect.Results A total of 60 patients were included in the control group,including 13 males and 17 females,aged(27.0±6.5)years.In the experimental group,there were 14 males and 16 females,aged(28.0±5.6)years.After intervention,the scores of subjective support,objective support and social support utilization in Social Support Rating Scale of the experimental group were 14.33±3.36,8.43±1.63 and 9.60±2.49,respectively,the control group were 16.20±3.83,10.00±2.59 and 8.33±2.28,respectively,and the differences were statistically significant(t=2.00,2.80,-2.05,all P<0.05).After intervention,the total score of Family Resilience Questionnaire and the scores of perseverance,support and harmony were 78.77±9.61,24.90±3.07,15.10±2.23 and 23.63±3.04,respectively.Higher than the control group 72.67±15.96,23.43±4.92,14.03±3.60,21.13±5.13,the differences were statistically significant(t values were-2.29--1.37,all P<0.05).Conclusions Recovery-oriented family psychoeducation can improve the level of social support and family resilience of schizophrenia patien

关 键 词：精神分裂症 复元 生命质量 缓解期 家庭心理健康教育 

分 类 号：R473.74[医药卫生—护理学]