|
|
|
| Efficacy study of behavioral intervention combined with psychological nursing on patients with schizophrenia |
| WANG Fang CHEN Jin XUE Li LU Huijie▲ |
| Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai 201108, China |
|
|
|
Abstract Objective To explore the effect of behavioral intervention combined with psychological nursing on the first-episode schizophrenia patients. Methods From December 2013 to December 2014, in Shanghai Mental Health Center, 74 schizophrenic patients were selected as the research object. According to the random number table, they were divided into observation group and control group, with 37 cases in each group. Patients in the control group were treated with risperidone only, while the observation group was treated with behavioral training combined with psychological nursing intervention on the basis of the control group, the intervention period was 2 months. The insight and treatment attitude questionnaire (ITAQ) was used to compare the cognition and attitude towards the treatment of patients in the two groups, the Brief Psychiatric Rating Scale (BPRS) was used to evaluate psychiatric symptoms in two groups before and after treatment, the global assessment scale (GAS) was used to measure the severity of the disease before and after treatment. Results Before treatment, there was no significant difference in ITAQ, BPRS and GAS scores of patients in the two groups (P > 0.05). After treatment, ITAQ, BPRS scores in two groups were higher than before treatment, and ITAQ, GAS scores in observation group were higher than control group, the differences were statistically significant (P < 0.05); BPRS scores were lower than before treatmnet, and BPRS scores in observation group were lower than control group, the differences were statistically significant (P < 0.05). Conclusion The behavioral intervention combined with psychological nursing intervention can improve the negative emotions of schizophrenic patients, alleviate symptoms to some extent, improve the level of general function, thus worthy of promotion.
|
|
|
|
|
|
[1] Brennand K，Savas JN，Kim Y，et al. Phenotypic differences in hipsc NPCS derived from patients with schizophrenia [J]. Mol Psychiatr，2014，20（3）：361.
[2] 宋丽华，李素水，孙志刚，等.精神分裂症认知障碍和功能预后关系的纵向研究进展[J].国际精神病学杂志，2015， 42（5）：47-51.
[3] Vestbo J，Hurd SS，Agustí AG，et al. Global strategy for the diagnosis，management，and prevention of chronic obstructive pulmonary disease -GOLD executive summary [J]. Am J Ｒespir Crit Care Med，2013，187（4）：347-365.
[4] 杜向东，殷光中，潘雯，等.首发精神分裂症患者利培酮治疗前后错误相关负电位的随访[J].国际精神病学杂志，2015，42（4）：43-46.
[5] 吴达莘，戴龙，陈国伟，等.厦门市重性精神疾病患者的经济负担及其影响因素[J].四川精神卫生，2015，28（6）：533-535.
[6] 郭建兵，马文有，张英杰，等.精神康复训练对精神分裂症生活质量和生活满意度的影响[J].河北医科大学学报，2016，37（8）：900-907.
[7] 赵明坤，刘叶红，张平，等.利培酮对精神分裂症患者血脂和甲状腺激素的影响[J].中国临床药理学杂志，2015， 31（5）：342-344.
[8] 翟爱华.恢复期精神分裂症患者行为训练需求与护士认知情况的对比研究[J].中国实用医药，2015，10（16）：289-290.
[9] 世界卫生组织.ICD-10精神与行为障碍分类[M].范肖东，汪向东，于欣，等译.北京：人民卫生出版社，1993.
[10] 张作记.行为医学量表手册[J].中华行为医学科学，1999， 13（增）：267-276.
[11] 刘朝玉，侯丽华，黄海峰.药物管理训练式护理模式对精神分裂症患BPRS及SDSS评分的影响分析[J].国际护理学杂志，2016，35（19）：2625-2627.
[12] 张明园.精神科手册[M].上海：上海科学技术出版社，1993.
[13] 梁军，张向阳.住院精神分裂症患者抗精神病药联合使用合理性的病例分析[J].中国心理卫生杂志，2015，29（1）：47-52.
[14] 梁翠英.有自杀行为或念头的精神分裂症患者心理特点分析[J].内科，2015，10（3）：335-336.
[15] 李文红，王鸿雁，刘新平.意象对话疗法对康复期精神分裂症患者心理影响的研究[J].国际医药卫生导报，2016， 22（17）：2594-2596.
[16] 陈瑞莲，朱转娥，郑丽松，等.医务社工参与康复护理对精神病患者的影响[J].中国医药导报，2015，12（19）：162-165.
[17] 李素君，曾妙容，黄淑燕，等.住院康复期精神分裂症患者心理趋势与应对方式及社会支持的模糊关联性[J].深圳中西医结合杂志，2016，26（18）：25-26.
[18] 李玉梅，林春元.分散内观认知干预对精神分裂症病人心理状态及康复效果的影响[J].全科护理，2016，14（28）：2957-2959.
[19] 赵鹏辉，赵青霞，宋玉超，等.心理干预治疗对缓解期精神分裂症的作用[J]，中国实用神经疾病杂志，2017，20（8）：102-104.
[20] 曹九英，朱建忠，许律琴，等.认知行为干预对首发精神分裂症康复效果的追踪调查研究[J].精神医学杂志，2014， 27（4）：297-299. |
|
|
|
