摘要
目的:探讨社区综合干预对重性精神病照料者应对方式的影响。方法:将200例重性精神病照料者随机分为对照组和干预组,对照组给予主要针对患者的常规干预和管理,干预组在常规干预和管理的基础上再给予每月一次、为期一年的社区综合干预。在干预前和干预后的第6、12个月对受试者应用简易应对方式问卷(SCSQ)评估。采用自制一般情况调查表采集受试者的一般人口学资料。结果:干预组的积极应对方式评分在第6、12个月显著高于对照组(P<0.05或P<0.0001)。干预组积极应对方式评分从第6个月起出现显著的评分纵向增加(P均<0.0001),而对照组在第12个月出现明显的纵向评分增加(P均<0.05)。消极应对方式评分方面,干预组的评分自第6个月显著纵向降低(P<0.05),而对照组评分未见明显变化(P>0.05)。结论:社区综合干预可有效改善重性精神病照料者的应对方式,增加积极应对,减少消极应对。
Objective： To explore the effect of community comprehensive intervention on coping style of the caregivers of patients with severe psychosis. Method： Two hundred caregivers of patients with severe psychosis were randomly divided into intervention group and control group. The control group mainly received routine management and intervention which are mostly associated with patients,the intervention group,besides routine management and intervention,were given monthly community comprehensive intervention for one year. Coping style was assessed with the simplified coping style questionnaire（ SCSQ） before and after 6,12 month intervention. Self-design questionnaire was adopted to collect the demographic data from subjects in both groups.Results： The intervention group exhibited significantly higher scores for the positive coping style after 6,12 month intervention,compared with the control group（ P 0. 05 or P 0. 0001）. Additionally,the intervention group showed significantly higher longitudinal scores after 6 month intervention（ all P 0. 0001）,compared with that after 12 month in the control group（ P 0. 05）. Reduced negative coping style score appeared in the intervention group after 6,12 month intervention,compared with the control group（ P 0. 05 or P 0. 0001）. In addition,the intervention group showed significantly lower longitudinal scores after 6 month intervention（ P 0. 0001）,compared with that no significant difference in the control group（ P 0. 05）. Conclusion： Coping style of the caregivers of patients with severe psychosis can be effectively improved by means of community comprehensive intervention,which could increase positive coping style and decrease negative coping style.
作者
杜秀生
李徽
赵芳
孙达亮
DU Xiu-sheng;LI Hui;ZHAO Fang;SUN Da-liang(Tianfin Binhai New Area Tanggu Anding Hospital, Tianfin 300454, Chin)
出处
《临床精神医学杂志》
2018年第2期101-103,共3页
Journal of Clinical Psychiatry
基金
天津市滨海新区卫计委课题(2013BWKY006)
关键词
社区综合干预
重性精神病
精神分裂症
应付方式
conmmnity comprehensive intervention
server psychosis
schizophrenia
coping style
