积极心理学干预联合阶段式康复护理对精神分裂症患者病耻感及精神症状的影响

The Impact of Positive Psychological Intervention Combined with Staged Rehabilitation Nursing on Stigma and Mental Symptoms of Patients with Schizophrenia

目的探讨积极心理学干预联合阶段式康复护理对精神分裂症患者病耻感及精神症状的影响.方法选取2020年1月—2023年1月山东省戴庄医院收治的82例精神分裂症患者为研究对象,按照随机数字表法将其分为对照组和观察组,各41例.其中对照组采取阶段式康复护理,观察组在此基础上采取积极心理学干预.比较两组干预前后病耻感、精神症状及生活质量.结果干预后,两组精神疾病病耻感量表、阴性及阳性症状量表评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05).干预后,两组简明健康量表评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05).结论积极心理学联合阶段式康复护理应用于精神分裂症患者的护理中效果显著,可使患者病耻感及精神症状均得到显著的缓解,生活质量得到明显提升.

Objective To explore the impact of positive psychological intervention combined with staged rehabilitation nursing on stigma and mental symptoms of patients with schizophrenia.Methods 82 patients with schizophrenia treated in Daizhuang Hospital,Shandong Province from January 2020 to January 2023 were selected as the study objects,and were divided into a control group and an observation group using the random number table method,with 41 patients in each group.The control group received staged rehabilitation nursing,while the observation group received positive psychological intervention on this basis.The stigma,mental symptoms and quality of life before and after intervention were compared between the two groups.Results After intervention,the scores of stigma scale and negative and positive symptom scale of mental illness in both groups were lower than before intervention,and those in the observation group were lower than the control group,the differences were statistically significant(P<0.05).After intervention,the scores of the concise health scale in both groups were higher than before intervention,and the observation group was higher than the control group,with statistical significance(P<0.05).Conclusion The application of positive psychological intervention combined with staged rehabilitation nursing in the nursing of patients with schizophrenia has significant effects,which can significantly alleviate the stigma and mental symptoms of patients,and significantly improve their quality of life.