摘要
目的探讨朋辈式心理辅导对恢复期精神分裂症患者康复疗效的影响。方法将入组的98例精神分裂症患者随机分成对照组与干预组,对照组按常规进行护理,干预组采用朋辈式心理辅导模式进行护理,在入组时,出院3个月,出院6个月评定自知力与治疗态度问卷(ITAQ)、社会功能缺陷量表(SDSS),并于出院6个月统计依从服药的例数。结果入组时两组患者的ITAQ总分、SDSS总分比较无统计学意义。出院3个月干预组的ITAQ总分高于对照组的ITAQ总分,差异有统计学意义(t=5.69,P﹤0.05);干预组的SDSS总分低于对照组的SDSS总分,差异有统计学意义(t=2.56,P﹤0.05)。出院6个月干预组的ITAQ总分高于对照组的ITAQ总分,差异有统计学意义(t=3.39,P﹤0.05);干预组的SDSS总分低于对照组的SDSS总分,差异有统计学意义(t=5.47,P﹤0.05)。出院6个月干预组有43依从服药(87.8%),对照组有32例依从服药(65.3%),两组比较存在统计学差异(χ2=6.87,P﹤0.01)。结论将朋辈式心理辅导理念运用到精神康复护理中,能改善精神分裂症患者的治疗态度,提升对疾病的自知力,提高服药的依从性,同时改善其社会功能。
Objective To investigate the effects of peer psychological counseling on recovery of schizophrenic patients in rehabilita- tion. Methods The group of 98 patients with schizophrenia were randomly divided into control group and intervention group. The con- trol group received the routine nursing care, the intervention group with peer psychological counseling model. At baseline, 3 months and 6 month after discharge, the results were evaluated with insight and treatment attitude questionnaire （ ITAQ）, social disability scale （SDSS）, and the cases of medication compliance were counted in 6 months after discharge. Results There were no significant differ- ences in ITAQ and SDSS between two groups of patients at baseline （P 〉 0.05）. In 3 months after discharge, intervention group had higher ITAQ score than the control group （t = 5. 69, P 〈 0.05） ; and lower SDSS score （t = 2. 56, P 〈 0.05 ） than the control group; In 6 months after discharge, intervention group had higher ITAQ score （ t = 3.39, P 〈 0.05 ） and lower SDSS score （ t = 5.47, P 〈 0.05 ） than the control group; In 6 months after discharge, 43 cases were in compliance with medication （87.8%） in the intervention group, 32 cases in control group （65.3%）, medication compliance between two groups was significant （X2 =6. 87, P 〈 0.01 ）. Conclusion The use of peer psychological counseling concept to mental health nursing can improve the attitude to treatment of patients with schizo- phrenia, enhance disease insight, improve medication compliance, and improve patients social function.
出处
《中国健康心理学杂志》
2014年第1期3-4,共2页
China Journal of Health Psychology
关键词
朋辈式心理辅导
精神分裂症
社会功能
服药依从性
Peer psychological counseling
Schizophrenia
Social function
Medication compliance
