基于多视角的叙事护理对精神分裂症住院患者心理状态与幸福感的影响分析

Analysis of the effects of multi-perspective-based narrative care on psychological status and well-being of schizophrenia in patients

目的探讨叙事护理对精神分裂症住院患者心理状态与总体幸福感的影响。方法采用方便抽样法选取2021年1月至2021年7月入住上海市闵行区精神卫生中心的100例精神分裂症住院患者作为研究对象,按照随机数字法分为对照组(n=50)和观察组(n=50)。对照组给予精神科药物治疗及常规护理干预,观察组在此基础上给予叙事护理干预。比较两组患者在干预前、干预3个月后的SCL-90症状量表和GWB量表得分,以及两组患者的心理状态与总体幸福感。结果两组患者的SCL-90症状量表在干预3个月后的总分、总均分、除躯体化与强迫症状外的7项因子,得分均有统计学意义(P<0.05),而观察组包括躯体化、强迫症状在内的10项全部因子对比得分均有统计学意义(P<0.05);观察组患者GWB量表在干预3个月后总均分高于对照组,具有统计学意义(P<0.001)。结论给予精神分裂症住院患者常规护理干预可以有效改善患者的心理状态,而叙事护理干预可以针对性改善患者的躯体化与强迫症状,并提高患者总体幸福感。

Objective To investigate the effect of narrative care on the psychological status and overall well-being of schizophrenia inpatients.Methods A convenience sampling method was used to select 100 cases of schizophrenic patients admitted to Min hang District Mental Health Center in Shanghai from January 2021 to July 2021 schizophrenia inpatients as study subjects,and were divided into control group(n=50)and observation group(n=50)according to the random number method.The control group was given psychiatric medication and conventional nursing intervention,while the observation group was given narrative nursing intervention on this basis.The scores of SCL-90 symptom scale and GWB scale before and after 3 months of intervention were compared between the two groups,as well as the psychological status and overall well-being of the patients in both groups.Results The scores of the SCL-90 symptom scale in both groups were statistically significant(P<0.05)for the total score,total mean score,and 7 factors except somatization and obsessive-compulsive symptoms after 3 months of intervention,while the comparison scores of all 10 factors including somatization and obsessive-compulsive symptoms in the observation group were statistically significant(P<0.05);the total mean score of the GWB scale in the observation group patients after 3 months of intervention High dry control group,with statistical significance(P<0.001).Conclusion Routine nursing interventions given to inpatients with schizophrenia can effectively improve patients’psychological status,while narrative nursing interventions can target somatization and obsessive-compulsive symptoms and improve patients’overall well-being.