日记式心理干预对精神分裂症患者应对方式及心理状态的影响  

Efects of diary psychological intervention on coping style and mental state of schizophrenic patients

作　　者：余黎波 祁恩秀 张丽[1] 杭勤 YU Libo;QI Enxiu;ZHANG Li;HANG Qin(Wuxi Mental Health Center,Wuxi 214151,China)

机构地区：[1]无锡市精神卫生中心,江苏无锡214151

出　　处：《心理月刊》2024年第24期82-84,93,共4页

摘　　要：目的 探讨日记式心理干预应用于精神分裂症患者中对应对方式及心理状态的影响。方法 选择2023年4月~2024年4月无锡市精神卫生中心收治的精神分裂症患者60例,按随机数字表法分为两组,各30例。对照组实施常规护理干预,研究组实施日记式心理干预。对比两组干预前后应对方式评分、心理状态评分、认知情绪调节评分与社会功能评分。正态计量资料以t检验。结果 干预后,研究组积极应对评分高于干预前与对照组,消极评分低于干预前与对照组(P<0.05);干预后,研究组抑郁焦虑压力量表(DASS-21)各项评分低于干预前与对照组(P<0.05);干预后,研究组认知情绪调节策略问卷(CERQ-C)各项评分优于干预前与对照组(P<0.05);干预后,研究组住院精神患者社会功能评定量表(SSPI)各项评分均高于干预前与对照组(P<0.05)。结论 日记式心理干预应用于精神分裂症患者可改善其应对方式与心理状态,提高认知情绪调节能力与社会功能。Objective To explore the impact of diary style psychological intervention on coping strategies and psychological states in patients with schizophrenia.Methods Sixty patients with schizophrenia admitted to Wuxi Mental Health Center from April 2023 to April 2024 were selected and randomly divided into two groups of 30 each using a random number table.The control group received routine nursing interventions,while the study group received diary style psychological interventions.The coping style score,mental state score,cognitive emotion regulation score and social function score were compared between the two groups before and after intervention.The t test was used for normal measurement data.Results After intervention,the positive coping score of the study group was higher than that before the intervention and the control group,and the negative coping score was lower than that before the intervention and the control group(P<0.05).After intervention,the scores of short form version of the depression anxiety stress scale(DASS-21)in the study group were lower than those before intervention and those in the control group(P<0.05).After intervention,the scores of cognitive emotion regulation questionnaire(CERQ-C)in the study group were better than those before the intervention and the control group(P<0.05).After intervention,the scores of the scale of social-skills for psychiatric inpatients(SSPI)in the study group were higher than those before the intervention and those in the control group(P<0.05).Conclusion The application of diary style psychological intervention in patients with schizophrenia can improve their coping styles and psychological states,enhance their cognitive and emotional regulation abilities,and improve their social functioning.

关 键 词：日记式心理干预 精神分裂症 应对方式 心理状态 认知情绪调节 社会功能 

分 类 号：R47[医药卫生—护理学]