接纳承诺疗法对长期住院精神分裂症患者孤独感和希望水平的影响  

The effect of acceptance and commitment therapy on loneliness and hope level of long-term hospitalized patients with schizophrenia

作　　者：查婷婷 孙春雅[1] 朱文慧[1] ZHA Tingting;SUN Chunya;ZHU Wenhui(Department of Psychiatry,Changzhou De'an Hospital,Changzhou,Jiangsu 213000,China)

机构地区：[1]常州市德安医院精神科,江苏常州213000

出　　处：《医药前沿》2025年第8期130-132,136,共4页Journal of Frontiers of Medicine

摘　　要：目的分析接纳承诺疗法(ACT)对长期住院精神分裂症患者孤独感和希望水平的影响。方法选取2022年5月—2023年12月常州市德安医院精神科长期接受住院治疗的60例精神分裂症患者,采用随机数字表法分为观察组和对照组各30例。对照组采用常规护理,观察组在对照组基础上采用ACT干预。比较两组护理前后孤独感,希望水平和精神状态。结果护理前,两组加州大学洛杉矶分校(UCLA)孤独量表、中文版9个条目的精神分裂症患者希望量表(SHS-9)、护士用住院患者观察量表(NOSIE)各维度评分比较,差异均无统计学意义(P>0.05);护理后,观察组UCLA孤独量表及NOSIE中的激惹、退缩、抑郁、精神病性表现评分均低于对照组,SHS-9及NOSIE中的个人整洁、社会兴趣、社会能力评分均高于对照组,差异均有统计学意义(P<0.05)。结论ACT干预能够有效减轻长期住院精神分裂症患者的孤独感,改善其精神状态,提高希望水平。Objective To analyze the effects of acceptance and commitment therapy(ACT)on loneliness and hope level in long-term hospitalized patients with schizophrenia.Methods A total of 60 patients with schizophrenia who received long-term inpatient treatment in the Department of Psychiatry,Changzhou De'an Hospital from May 2022 to December 2023 were selected and divided into observation group and control group with 30 cases in each group by random number table method.The control group received routine nursing,and the observation group received ACT intervention based on the control group.The loneliness,hope level and mental state before and after nursing were compared between the two groups.Results Before nursing,there were no significant differences in the scores of Univesity of Califorrnia at Los Angels(UCLA)Loneliness Scale,Chinese version of Schizophrenia Hope Scale-9(SHS-9)and Nurses'Observation Scale for Inpatient Evaluation(NOSIE)between the two groups(P>0.05);after nursing,the scores of UCLA Loneliness Scale and irritability,withdrawal,depression and psychotic performance of NOSIE in the observation group were lower than those in the control group,the scores of SHS-9 and personal cleanliness,social interest and social ability of NOSIE were higher than before nursing,the differences were statistically significant(P<0.05).Conclusions ACT intervention can effectively reduce the loneliness of patients with schizophrenia,improve their mental state and raise hope level.

关 键 词：精神分裂症 接纳承诺疗法 孤独感 希望水平 精神状态 

分 类 号：R473[医药卫生—护理学]