以自我管理为核心的团体教育干预对精神分裂症患者的影响

Effect of Group Education Intervention in Self-control on Schizophrenics

目的研究以自我管理为核心的团体教育干预对精神分裂症患者的康复作用。方法将112例精神分裂症患者分为研究组和对照组。在两组均使用抗精神病药物治疗的基础上,对照组实施一般个体健康教育,仅对研究组进行以自我管理为核心的团体教育干预。采用自理行为问卷(SCBQ)、简明精神病量表(BPRS)、社会功能缺陷筛选量表(SDSS)分别对两组患者干预前(入组时)和干预后(出院1年末)进行效果评定,并进行服药依从性评价。结果与对照组相比,研究组出院1年末时SCBQ评分明显提高(P<0.01),BPRS及SDSS评分均明显降低(P<0.01),顺从服药者明显多于对照组(P<0.01)。结论以自我管理为核心的团体教育干预能明显提高患者的自我疾病管理能力,对缓解精神症状、改善社会功能、维持身心健康有积极的作用。

Objective To explore the rehabilitation effect of group education intervention in self control on schizophrenic patients. Methods 112 schizophrenic patients were divided into study group （56 cases） and control group （56 cases）. Two groups were treated with antipsychotics. The control group was subjected to general healthy education, while the study group received education intervention of self-control. All patients of two groups were assessed by Self-care Behavior Questionnaire（SCBQ）, Brief Psychiatric Rating Scale（BPRS） and Social Disability Screening Schedule（SDSS） before and affter intervention, and drug-compliance was also assessed. Results After one year, the total score of SCBQ was significantly higher in the study group than in the control group, while the total scores of BPRS and SDSS were significantly lower in the study group than in the control group （P 〈0.01）; Drug-compliance was significantly more in the study group than in the control group（P 〈0.01）. Conclusion Group education intervention of selfcontrol can improve distinctly the ability of self-control disease, have positive effect on remission psychical symptom, and improve the social function and retention psychosomatic healthy.