基于工娱疗法的护理措施在精神分裂症康复期患者中的应用效果

Application Effect of Nursing Measures Based on Work and Entertainment Therapy in Patients Recovering from Schizophrenia

目的分析基于工娱疗法的护理措施在精神分裂症康复期患者中的应用效果.方法选取2021年8月—2023年7月期间于菏泽市第三人民医院住院治疗的102例精神分裂症康复期患者为研究对象,按照随机数字表法将其分为对照组及研究组.对照组(n=51)接受常规护理,研究组(n=51)在此基础上接受基于工娱疗法的护理.比较两组患者的精神疾病患者病耻感量表中文版(SSMI-C)、住院精神病人社会功能评定量表(SSPI)、精神分裂症患者自我管理量表(SSMIS)评分.结果干预前,两组的SSMI-C、SSPI、SSMIS评分比较,组间差异无统计学意义(P>0.05);干预8周后,两组的SSMI-C、SSPI、SSMIS评分均较干预前改善,且研究组的SSMI-C、SSPI评分分别为(55.56±7.02)分、(8.85±2.52)分,均低于对照组,SSMIS评分为(110.56±7.56)分,高于对照组,差异有统计学意义(P<0.05).结论基于工娱疗法的护理措施能缓解精神分裂症康复期患者的病耻感,提高其社会功能与自我管理能力,具有临床应用与推广价值.

Objective To analyze the effect of nursing measures based on work and entertainment therapy in patients recovering from schizophrenia.Methods 102 schizophrenic convalescence patients hospitalized in Heze Third People's Hospital from August 2021 to July 2023 were selected as the study objects and were divided into a control group and a study group according to random number table.The control group(n=51)received routine nursing,and the study group(n=51)received nursing measures based on work and entertainment therapy on this basis.The scores of the Stigma Scale for Mental Illness-Chinese version(SSMI-C),the Scale of Social Function in Psychosis Inpatients(SSPI)and the Schizophrenia Self-Management Instrument Scale(SSMIS)were compared between the two groups.Results Before intervention,there were no significant differences in SSMI-C,SSPI and SSMIS scores between the two groups(P>0.05);after 8 weeks of intervention,the scores of SSMI-C,SSPI and SSMIS in both groups were improved compared with those before intervention,and the SSMI-C and SSPI scores in the study group were(55.56±7.02)points and(8.85±2.52)points,respectively,which were lower than those in the control group,and the SSMIS score was(110.56±7.56)points,which was higher than that in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The nursing measures based on work and entertainment therapy can alleviate the stigma of patients recovering from schizophrenia,improve their social function and self-management ability,and have clinical application and promotion value.