摘要
目的:观察中医情志护理及养心汤联合常规医护措施干预精神分裂症患者的效果。方法:纳入72例心脾两虚型患者进行研究,按随机数字表法分成观察组和对照组各36例。2组均给予常规抗精神病药物治疗及护理,观察组加予中医情志护理干预及养心汤治疗。2组均治疗4周。比较2组治疗前、治疗4周后的家庭亲密度、睡眠质量及应对方式的差异情况。结果:治疗后,观察组实际亲密度评分、理想亲密度评分均较治疗前升高,亲密度不满意度评分均低于治疗前,差异均有统计学意义(P<0.01,P<0.05);对照组3项评分治疗前后比较,差异均无统计学意义(P>0.05)。观察组实际亲密度评分、理想亲密度评分均高于对照组,亲密度不满意度评分低于对照组,差异均有统计学意义(P<0.05)。2组匹兹堡睡眠质量指数量表(PSQI)7项指标评分及总分均较治疗前降低(P<0.05),观察组各项指标评分及总分均低于对照组(P<0.05)。2组积极应对评分均高于治疗前,消极应对评分均低于治疗前,差异均有统计学意义(P<0.01);观察组积极应对评分高于对照组,消极应对评分低于对照组,差异均有统计学意义(P<0.01)。结论:在常规医护措施基础上加用中医情志护理联合养心汤干预心脾两虚型精神分裂症患者,可通过提升家庭亲密度、改善睡眠质量及促进患者采取积极的应对方式等作用提高临床治疗效果。
Objective:To observe the effect of Chinese medicine emotional nursing and Yangxin tang combined with routine medical measures on patients with schizophrenia.Methods:A total of 72 cases of patients of dual deficiency of the heart-spleen type were included in the study and were divided into the observation group and the control group according to the random number table method,36 cases in each group.Both groups were treated with routine antipsychotic drugs and nursing,and the observation group was additionally treated with Chinese medicine emotional nursing and Yangxin tang.Both groups were treated for four weeks.Before treatment and after four-week treatment,the differences of family cohesion,sleep quality and coping styles between the two groups were compared.Results:After treatment,the scores of genuine intimacy and ideal intimacy in the observation group were increased when compared with those before treatment,and the score of intimacy dissatisfaction was lower than that before treatment,differences being significant(P<0.01,P<0.05).In the control group,there was no significant difference being found in the comparison of the above three scores before and after treatment(P>0.05).The scores of genuine intimacy and ideal intimacy in the observation group were higher than those in the control group,and the score of intimacy dissatisfaction was lower,differences being significant(P<0.05).The scores and total scores of seven indexes in Pittsburgh Sleep Quality Index Scale(PSQI)in the two groups were decreased when compared with those before treatment(P<0.05),and the above scores in the observation group were lower than those in the control group(P<0.05).The scores of positive coping styles in the two groups were higher than those before treatment,and the scores of negative coping styles were lower,differences being significant(P<0.01).The score of positive coping style in the observation group was higher than that in the control group,and the score of negative coping style was lower,differences being significant(P<0.0
出处
《新中医》
CAS
2021年第8期183-187,共5页
New Chinese Medicine
基金
绍兴市卫生计生科技创新项目(2016CX014)。
关键词
精神分裂症
心脾两虚证
中医情志护理
养心汤
家庭亲密度
睡眠质量
应对方式
Schizophrenia
Dual deficiency of the heart-spleen syndrome
Chinese medicine emotional nursing
Yangxin tang
Family cohesion
Sleep quality
Coping style
