综合干预对精神分裂症患者自我效能感的影响

Effects of Nursing Interventions on Self-efficacy of Patients with Schizophrenia

目的探讨护理干预对精神分裂症患者自我效能感的影响。方法将100例精神分裂症住院患者分为观察组和对照组,观察组在常规的治疗和护理的基础上,进行以正向教育为主的综合护理干预。对两组患者在病情稳定能理解量表问题并能作答时、出院后1年分别进行自我效能感的测定。结果干预后,观察组的自我效能感评分高于对照组(P<0.001);干预前后比较,观察组的自我效能感明显提高(P=0.000),而对照组在干预后自我效能感比干预前有所下降(P=0.000)。结论正向鼓励、专业人员的定期辅导、家属的关心和支持等综合干预,对精神分裂症患者自我效能感的提高有显著的效果。

Objective To explore the effects of nursing interventions on self-efficacy of patients with schizophrenia. Methods One hundred schizophrenia patients were divided into observation group and control group. Besides normal treatment and nursing, the observation group received positive nursing interventions. Both groups evaluated their self-efficacy when their condition remained stable so that they could understand and reply based on the scale and 1 year after discharge. Results Self-efficacy of observation group got a higher score than control group before interventions （P〈0.001）, and it had a dramatic increase in observation group after interventions （P=0.000） but a decrease in control group （P=-0.000）. Conclusion Interventions like positive encourage, regular advise from specialists, care and support form family members will be effective for the increase of the self-efficacy of patients with schizophrenia.