信息-动机-行为护理干预措施对慢性精神分裂症患者生活质量的影响  

Effect of information-motivation-behavioral nursing intervention on the quality of life of patients with chronic schizophrenia

作　　者：刘文伟 张学文 闫庆强 LIU Wenwei;ZHANG Xuewen;YAN Qingqiang(Third Ward,Tai'an Rongjun Hospital(Tai'an Honor Hospital),Tai'an 271000,China;First Ward,Tai'an Rongjun Hospital(Tai'an Honor Hospital),Tai'an 271000,China)

机构地区：[1]泰安市荣军优抚医院(泰安市光荣院)三病区,山东泰安271000 [2]泰安市荣军优抚医院(泰安市光荣院)一病区,山东泰安271000

出　　处：《心理月刊》2025年第4期116-118,共3页

摘　　要：目的探究信息-动机-行为护理(IMB)干预措施对慢性精神分裂症患者生活质量的影响。方法选取2021年10月~2024年10月泰安市荣军优抚医院接收的慢性精神分裂症患者86例,以随机双盲法分为传统组和探究组,各43例。传统组辅以基础护理干预措施,探究组辅以信息-动机-行为护理干预措施。评估两组的护理效果。计数资料以x2检验,正态计量资料以t检验。结果干预前,阳性与阴性症状量表(PANSS)提示两组阴性症状、阳性症状、病理症状评分无显著差异(P>0.05);干预后,探究组阴性症状、阳性症状、病理症状评分均低于传统组(P<0.01)。干预前,一般自我效能感量表(GSES)提示两组评分无显著差异(P>0.05);干预后,探究组GSES评分高于传统组(P<0.01)。干预前,生活质量综合评定问卷(GQOLI-74)提示两组评分无显著差异(P>0.05);干预后,探究组GQOLI-74评分高于传统组(P<0.01)。探究组护理评价好评率高于传统组(P<0.05)。结论慢性精神分裂症患者辅以信息-动机-行为护理干预措施,可提升患者自我管理能力,有助于短期内改善患者生活质量,且患者护理好评率高,为疾病管理增效,缓解精神状况。Objective To explore the effect of information-motivation-behavioral nursing(IMB)intervention on the quality of life of patients with chronic schizophrenia.Methods A total of 86 patients with chronic schizophrenia admitted to Tai'an Rongjun Hospital from October 2021 to October 2024 were randomly and double-blind divided into the traditional group and the research group,with 43 cases in each group.The traditional group was supplemented with basic nursing intervention measures,and the exploration group was supplemented with information-motivation-behavioral nursing intervention.The nursing effects of the two groups were evaluated.The count data were analyzed by x~2 test,and the normal measurement data were analyzed by t test.Results Before the intervention,the positive and negative syndrome scale(PANSS)showed that there was no significant difference in the scores of negative symptoms,positive symptoms,and pathological symptoms between the two groups(P>0.05).After the intervention,the negative symptoms,positive symptoms,and pathological symptoms scores of the exploration group were lower than those of the traditional group(P<0.01).Before the intervention,the general self-efficacy scale(GSES)showed that there was no significant difference in the scores between the two groups(P>0.05).After the intervention,the GSES score of the exploration group was higher than that of the traditional group(P<0.01).Before the intervention,the generic quality of life inventory 74(GQOLI-74)showed that there was no significant difference in the scores between the two groups(P>0.05).After the intervention,the GQOLI-74 score of the exploration group was higher than that of the traditional group(P<0.01).The rate of favorable nursing evaluation in the exploration group was higher than that in the traditional group(P<0.05).Conclusion Information-motivationbehavior nursing intervention measures can improve the self-management ability of patients with chronic schizophrenia,which is helpful to improve the quality of life of patients in the shor

关 键 词：信息-动机-行为护理 慢性精神分裂症 生活质量 

分 类 号：R47[医药卫生—护理学]