代币强化行为护理在慢性精神分裂症康复中的效果分析  

Effect analysis of token-enhanced behavioral care in the rehabilitation of chronic schizophrenia

作　　者：孙月 贾建香 闫韧 徐龙 SUN Yue;JIA Jianxiang;YAN Ren;XU Long(Department of Psychiatry,Beijing Daxing District Xinkang Hospital,Bejing 102600,China)

机构地区：[1]北京市大兴区心康医院精神科,北京102600

出　　处：《心理月刊》2025年第6期148-150,共3页

摘　　要：目的分析代币强化行为护理在慢性精神分裂症康复中的效果。方法本研究选择了在2019年2月~2022年8月期间,来自北京市大兴区心康医院接受治疗的78名被诊断为精神分裂症的患者作为样本。依据随机数字表格的方法对入组患者实施分组,分为对照组(n=39)、观察组(n=39)。对照组实施常规护理康复干预。观察组联合使用代币强化行为护理方法。对比两组干预前后的精神病症状情况[阳性和阴性症状量表(PANSS)]、生活质量水平(ADL评分)、康复疗效[临床疗效总体印象量表(CGI)]。结果在实施干预之前,两组患者的PANSS量表各指标差异无统计学意义(P>0.05)。干预后,观察组的PANSS量表均低于对照组(P<0.05);干预前,两组ADL评分差异均无统计学意义(P>0.05)。干预后,观察组ADL评分显著增高,差异有统计学意义(P<0.05)。在实施干预之前,两组CGI评分组间无统计学差异(P>0.05)。干预后,观察组CGI评分更低,差异有统计学意义(P<0.05)。结论将代币强化行为护理方法应用于慢性精神分裂症康复中,能够有效改善患者的症状、生活质量水平、康复效果。Objective To analyze the effectiveness of token reinforcement behavior nursing in the rehabilitation of chronic schizophrenia.Methods This study selected 78 patients diagnosed with schizophrenia who were treated at Xinkang Hospital in Daxing District,Beijing,from February 2019 to August 2022.The patients were randomly divided into a control group(n=39)and an observation group(n=39)using a random number table.The control group received routine nursing rehabilitation interventions,while the observation group used token reinforcement behavior nursing in combination with routine care.The two groups were compared in terms of psychiatric symptoms[positive and negative syndrome scale(PANSS)],quality of life[activities of daily living(ADL)score],and rehabilitation outcomes[clinical global impression(CGI)]before and after the interventions.Results Before the intervention,there was no significant difference in PANSS scales between the two groups(P>0.05).After the intervention,the PANSS scale of the observation group was lower than that of the control group(P<0.05).Before intervention,there was no significant difference in ADL scores between the two groups(P>0.05).After the intervention,the ADL score of the observation group was significantly increased,and the difference was statistically significant(P<0.05).Before the intervention,there was no significant difference in CGI between the two groups(P>0.05).After intervention,the CGI score of the observation group was lower,and the difference was statistically significant(P<0.05).Conclusion The application of token reinforcement behavior nursing in the rehabilitation of chronic schizophrenia can effectively improve patients'symptoms,quality of life,and rehabilitation outcomes.

关 键 词：代币强化行为护理 精神分裂症 康复 阴性症状 

分 类 号：R47[医药卫生—护理学]