支持性心理干预对保护性约束精神分裂症患者自尊水平的影响

Influences of supportive psychological intervention on the self- esteem levels of schizophrenics undergoing protective restraint

目的探讨支持性心理干预对保护性约束精神分裂症患者自尊水平的影响。方法将首次住院且保护性约束时间〉4d的70例精神分裂症患者按照随机数字表法分为两组，每组35例。两组均予以一般护理，观察组在此基础上联合支持性心理干预，解除保护性约束后观察4周。于干预前后应用罗森伯格自尊量表评定自尊水平。结果心理干预后观察组罗森伯格自尊量表总分较干预前显著升高（P〈0．01），对照组较护理前显著降低（P〈0．01），观察组显著高于对照组（P〈0．01）。结论支持性心理干预能显著提高保护性约束精神分裂症患者的自尊水平。

Objective To explore the influences of supportive psychological intervention on the self-esteem levels of schizophrenics undergoing protective restraint. Methods Seventy firsthospitalization schizophrenics undergoing 〉 4 day protective restraint were randomly assigned to two groups of 35 ones each. Both groups received general nursing, on this basis observation group was plus supportive psycho- logical intervention, and observed for 4 weeks after removing protective restraint. Self-esteem levels were assessed with Rosenberg Self-Esteem Scale （SES） before and after intervention. Results After psychological intervention the total score of the SES heightened more significantly compared with pre-intervention in observation group （P〈0.01） and lowered in control （P〈0.01）, that was significantly higher in observation than control group （P〈0.01）. Conclusion Supportive psychological intervention could notably improve the self-esteem levels of schizophrenics undergoing protective restraint.