整合式心理护理对精神分裂症患者自我感受负担、负性情绪及遵医行为的影响  

Effects of integrated psychological nursing on self-perceived burden,negative emotion and medical compliance behavior in patients with schizophrenia

作　　者：周苏苏 季维维 王小峰 李正华 杨建芳 ZHOU Susu;JI Weiwei;WANG Xiaofeng;LI Zhenghua;YANG Jianfang(Rudong County Fourth People's Hospital,Nantong 226400,China)

机构地区：[1]如东县第四人民医院精神科,江苏南通226400

出　　处：《心理月刊》2025年第4期128-130,共3页

摘　　要：目的探讨整合式方案在精神分裂症心理干预中应用对自我感受负担、负性情绪及遵医行为的影响。方法选择如东县第四人民医院2022年1月~2023年12月收治的精神分裂症患者96例。以随机数字表法分组。对照组(n=48)开展常规护理,观察组(n=48)同时采用整合式心理护理干预。比较两组自我感受负担状态,评估负性情绪及阳性阴性症状改善情况,并调查其遵医行为及护理满意度。正态计量资料以t检验,计数资料以x2检验。结果干预后,与对照组比,观察组自我感受负担评分显著更低(P<0.05);焦虑、抑郁自评量评分显著更低(P<0.05);阳性与阴性症状量表各维度分值各维度评分均显著更低(P<0.05)。观察组遵医率、满意度均明显较对照组更高(P<0.05)。结论对精神分裂症在心理干预中通过整合式方案干预能获得良好效果,可减轻自我感受负担、负性情绪,改善遵医行为及症状,提升护理满意度。Objective To explore the value of integrated psychological nursing in improving self-perceived burden,negative emotion and compliance behavior of patients with schizophrenia.Methods A total of 96 patients with schizophrenia were selected from January 2022 to December 2023.Random grouping.The control group of 48 patients received normal nursing,the observation group of 48 patients with schizophrenia integrated a variety of psychological means intervention.The self-perceived burden status of the two groups was compared,the improvement of negative emotions and positive and negative symptoms was assessed,and the compliance behavior and nursing satisfaction were investigated.T test was used for normal measurement data,and x~2 test was used for count data.Results After intervention,the self-perceived burden score of the observation group was significantly lower than that of the control group(P<0.05).The self-assessment scores of anxiety and depression were significantly lower(P<0.05).The scores of each dimension of the positive and negative symptoms scale were significantly lower(P<0.05).The compliance rate and satisfaction of the observation group were significantly higher than those of the control group(P<0.05).Conclusion Integrated psychological nursing intervention for schizophrenia can reduce the burden of self-perception,relieve negative emotions,improve compliance behavior and symptom,and enhance nursing satisfaction.

关 键 词：整合式心理护理 精神分裂症 自我感受负担 负性情绪 遵医行为 

分 类 号：R47[医药卫生—护理学]