支持性心理干预对社区精神分裂症病人病耻感的影响

Influence of supportive psychological intervention on community schizophrenia patients with stigma

[目的]探讨支持性心理干预对社区精神分裂症病人病耻感的影响。[方法]将110例社区精神分裂症病人随机分为对照组和干预组各55例,由于病情变化和复发住院等原因,干预组脱落2例,对照组脱落4例。对照组采用常规的社区护理模式,干预组在此基础上实施8周支持性心理干预。分别在干预前、干预后、随访2个月后采用Link病耻感量表对两组病人进行测评。随访1年后采用阳性和阴性症状量表(PANSS)测评两组病人精神症状。[结果]干预后及随访2个月后干预组Link病耻感量表8个维度得分和总分均明显低于本组干预前与同期对照组得分(P<0.01);随访1年后干预组复发率为16.98%,对照组复发率为37.25%,两组复发率比较差异有统计学意义(P<0.05)。[结论]实施支持性心理干预可改善社区精神分裂症康复期病人的病耻感。

Objective:To probe into the influence of supportive psychological intervention on community schizophrenia patients with stigma.Methods:A total of 110 patients with schizophrenia were randomly divided into control group and intervention group(n=55).Due to the change of the disease and recurrent hospitalization reasons,2 cases lost in intervention group,while 4 cases in control group.The control group used routine community nursing,while the intervention group added 8weeks of supportive psychological intervention.The two groups of patients were evaluated by the Link stigma scale before and after intervention,after 2 months of follow-up.The mental symptoms of patients in two groups were evaluated by the positive and negative symptoms scale(PANSS)after 1 year of follow-up.Results:In the intervention group,the score of Link stigma and 8 dimension scores after the intervention and 2 month of follow-up were significantly lower than before the intervention and concurrent control group(P<0.01).After 1 years of follow-up,the recurrence rate of the intervention group was16.98%,while the recurrence rate of the control group was 37.25%.There were statistically significant between the recurrence rates of two groups(P<0.05).Conclusions:The implementation of supportive psychological intervention could improve stigma of schizophrenic patients in community.