依从性干预护理模式对精神分裂症患者病耻感及自尊的影响研究

Effect of compliance intervention model on the stigma and self-respect of patients with schizophrenia

目的探讨依从性干预护理模式对于精神分裂症(SCH)患者病耻感及自尊的影响。方法选择恢复期SCH患者120例随机分为实验组与对照组,各60例。对照组予以常规护理模式,实验组予以依从性干预护理模式。护理前及护理2个月后,采用精神疾病病耻感量表(SSMI-C)、罗森伯格自尊量表(SES)、总体幸福感量表(GWB)、自知力与治疗态度问卷(ITAQ)、服药依从性及个人社会功能量表(PSP)进行评价和比较。结果干预2个月后,实验组的SES、GWB、ITAQ及PSP评分显著高于治疗前及对照组(P<0.05),SSMI-C量表各维度评分显著低于对照组(P<0.05),服药依从性显著高于对照组(P<0.05)。结论依从性干预护理模式有利于提高SCH患者的服药依从性,改善其病耻感、自尊及幸福感,对于改善社会功能具有积极作用。

Objective To explore the effect of compliance intervention model on the stigma and self-respect in patients with schizophrenia（SCH）. Methods A total of 120 patients with SCH were randomly divided into experimental group and control group,each with 60 cases. The control group received conversional nursing model,while the experimental group received compliance intervention model. Before and after 2 months of nursing,Stigma Scale for Mental Illness（SSMI-C）,Rosenberg＇s Self-Esteem Scale（SES）,General Wellbeing Scale（GWB）,Insight and Treatment Attitude Questionnaire（ITAQ）and Personal and Social Performance Scale（PSP）were used for evaluation and comparison between two groups. Results After 2 month of the intervention,the scores of SES,GWB,ITAQ and PSP in experimental group were significantly higher than those before intervention and higher than those in control group（P〈0.05）,the dimensions rating scores of SSMI-C scale were significantly lower（P〈0.05）,and the medication compliance was significantly higher（P〈0.05）. Conclusions The compliance intervention model may help the patients to enhance the compliance,improve the stigma,self-esteem,wellbeing and the social function.