对慢性精神分裂症患者进行陪伴式情感干预的效果观察

Observation on the effect of accompanying emotional intervention in patients with chronic schizophrenia

目的:探讨陪伴式情感干预对缓解慢性精神分裂症患者的效果。方法:选择我院收治的158例慢性精神分裂疾病患者,按照随机数字法,将患者分成对照组和观察组,对照组按常规要求干预,观察组患者进行陪伴方式下的情感干预,采用简明精神病量表(BPRS)、住院患者护士观察量表(NOSIE)、阴性症状量表(SANS)比较干预的结果。结果:干预后,组内BPRS、SANS和NOSIE的消极因素评分显著降低(P<0.05),NOSIE的积极因素评分显著升高(P<0.05);在干预后,BPRS、SANS和NOSIE的消极因素评分在组间出现降低,NOSIE的积极因素评分出现升高,组间具有统计学差异(P<0.05)。结论:陪伴式情感干预使慢性精神分裂患者感觉到家庭与社会的关爱,可行性高,值得深入研究后在临床推广。

[Objective] To explore the effect of accompanying emotional intervention on the condition of patients with chronic schizophrenia.[Method]A total of 58 patients with chronic schizophrenia were enrolled in our hospital.The patients were divided into control group and observation group according to the random number method.Nursing intervention group was treated according to the requirements of routine mental illness.The patients were followed by emotion (NRSIE),Negative Symptom Scale (SANS),and the results were compared with the results of the intervention group (BPRS),hospitalized patient observation scale (NOSIE) and negative symptom scale (SANS).[Result]There was no significant difference in the scores of negative and positive factors between BPRS,SANS and NOSIE before intervention (P < 0.05).After the intervention,the negative factor scores of BPRS,SANS and NOSIE were significantly decreased (P were less than 0.05),the positive factor score of NOSIE was significantly increased (P < 0.05).The negative factor scores of BPRS,SANS and NOISE were decreased between the groups,positive scores of NOSIE were increased,and there was statistical difference between the two groups (P < 0.05).[Conclusion] Accompanimental interventions allowchronic schizophrenia to feel the care of the family and society.The feasibility is high and it is worth in-depth study for clinical promotion.