共情护理联合森田疗法对精神分裂症康复期患者认知功能的影响  

The effect of empathetic nursing combined with Morita therapy on cognitive function of schizophrenia rehabilitation patients

作　　者：房艳艳 朱晓雨 姬超 FANG Yanyan;ZHU Xiaoyu;JI Chao(Zibo Mental Health Center,Zibo 255000,China)

机构地区：[1]淄博市精神卫生中心,山东淄博255000

出　　处：《心理月刊》2024年第23期124-126,235,共4页

摘　　要：目的 探讨共情护理联合森田疗法对精神分裂症康复期患者阴性症状,特别是针对认知能力的临床治疗效果。方法 选取精神分裂症康复期患者95例,均为山东省淄博市精神卫生中心住院患者,住院时间为2022年1月~2024年2月,将所有患者随机分为对照组和研究组两组,对照组48例,研究组47例。对照组在给予药物治疗基础上配合常规心理治疗,研究组则在药物治疗基础上给予共情护理加森田疗法治疗。7周治疗方案结束后,比较两组患者的简明精神评定量表(BPRS)、阳性症状量表(SAPS)、阴性症状量表(SANS)及护士用住院患者观察量表(NOSIE)评分。结果 7周治疗结束后,研究组患者的BPRS、SAPS、SANS评分均低于对照组的评分(P<0.05);研究组患者的NOSIE相关评分,总积极因素评分高于对照组(P<0.05),总消极因素评分低于对照组(P<0.05),NOSIE评分总分高于对照组(P<0.05)。结论 共情护理联合森田疗法对精神分裂症康复期患者认知功能的治疗效果要明显优于常规心理治疗,共情护理联合森田疗法可明显改善并提高对精神分裂症康复期患者的临床疗效,更好地促进精神分裂症患者疾病康复及回归社会的过程。Objective To explore the clinical therapeutic effect of empathic nursing combined with Morita therapy on negative symptoms of patients recovering from schizophrenia,especially on cognitive ability.Methods A total of 95 patients recovering from schizophrenia were selected,all of whom were hospitalized in Zibo Mental Health Center of Shandong Province from January 2022 to February 2024.All patients were randomly divided into control group and study group:control group(48 cases)and study group(47 cases).The control group was given drug therapy and conventional psychotherapy,while the study group was given empathic nursing combined with Morita therapy.After 7 weeks of treatment,the scores of brief psychiatric rating scale(BPRS),scale for assessment of positive symptoms(SAPS),scale for assessment of negative symptoms(SANS)and nurses observation scale for inpatient evaluation(NOSIE)were compared between two groups.Results The treatment had ended after 7 weeks,the scores of BPRS,SAPS and SANS in the study group were lower than those in the control group(P<0.05).The NOSIE related scores of the study group patients were higher in the total positive factor score than the control group(P<0.05),lower in the total negative factor score than the control group(P<0.05),and higher in the total NOSIE score than the control group(P<0.05).Conclusion The therapeutic effect of empathetic nursing combined with Morita therapy on cognitive function of patients recovering from schizophrenia is significantly better than that of conventional psychotherapy.Empathetic nursing combined with Morita therapy can further improve the clinical efficacy of patients recovering from schizophrenia,and better promote the process of disease rehabilitation and return to society of patients with schizophrenia.

关 键 词：精神分裂症 共情护理 森田疗法 

分 类 号：R47[医药卫生—护理学]