护理访谈对首发精神分裂症病人家属心理状况的影响

The impact of nursing interview on the psychological status of first-episode schizophrenia patients′ family members

目的:评价护理访谈对首发精神分裂症病人家属心理健康状况的影响。方法:在入院时、住院期间、出院前对80例首发精神分裂症病人家属实施护理访谈,采用SCL-90对家属进行心理健康测评。结果:首发精神分裂症病人家属SCL-90各项因子分与常模比较,访谈前,其人际关系、焦虑、抑郁、偏执、敌对、恐怖和躯体化7项因子分比较有差异(P<0.05);病人的配偶有4项因子分得分高于病人的子女或父母的得分(P<0.05)。干预后,各项因子分与国内常模比较无差异(P>0.05)。结论:护理访谈能改善首发精神分裂症病人家属,尤其是配偶的心理健康状况,缓解家属的心理压力,给病人一个良好的家庭康复环境,有利于促进病人早日康复。

Objective：To evaluate the impact of nursing interviews on psychological status of first - episode schizophrenia patients＇ family members. Meth- ods： Carry out nursing interviews for the 80 patients＇ family members when patients on admission, during hospitalization, discharge. Used SCL -90 to evalu- ate their psychological status. Results： Before the interview, the overall mental health status of the first - episode schizophrenia patients＇ family members, compared with the norm, there were significant differences in seven factors scores, such as their interpersonal relationships, anxiety, depression, paranoia, hostility, terror and somatization （P 〈 0.05 ）. There were four factor scores in spouses of the patients higher than that in the patient＇s children or parents（ P 〈 0.05 ）. After the intervention, there was no significant difference in each factor scores compared with the domestic norm （ P 〉 0.05 ）. Conclusion ： Nurs- ing interview could improve the mental health status of first -episode schizophrenia patients＇ family members, especially the spouses of the patients. To ease the psychological pressure, give patients a good family rehabilitative environment,promote the patient a speedy recovery.