积极心理学在老年期精神分裂症患者护理中的应用

Application of positive psychology in nursing care for elderly patients with schizophrenia

目的研究积极心理学在老年期精神分裂症患者护理中的应用效果。方法将82例住院的老年期精神分裂症患者，随机分为对照组和干预组，各4l例。对照组接受常规的抗精神病药物治疗和常规护理，干预组在此基础上增加12周的积极心理学技术干预。两组采用幸福进取者问卷（HEIQ）和住院精神患者康复疗效评定量表（IPROS）评估结果。结果干预前，干预组HEIQ和IPROS总分分别为（3．46±0．51）分、（45．42±5．27）分，对照组为（3．55±0．64）分、（45．37±6．48）分，两组比较差异无统计学意义（P〈0．05）。干预后，干预组患者的HEIQ和IPROS总分高于对照组，差异具有统计学意义（P〈0．05）。结论护理中使用积极心理学技术能够提高幸福进取感和临床康复效果。

Objective To explore the effect of applying positive psychology in nursing care for elderly patient~ with schizophrenia. Methods 82 elderly inpatients with schizophrenia were randomly divided into a control group and an intervention group, 41 cases for each group. The control group were routinely treated with antipsychotic drugs and cared. In addition, the intervention group were intervened using positive psychology theory for 12 weeks. The outcomes were evaluated by Happy Enterprising Individual Questionnaire （HEIQ） and inpatient psychiatric rehabilitation observing scale （IPROS）. Results Before the intervention, there were no statisitcal differences in the scores of HEIQ [（3.46±0.51） vs. （3.55±0.64）] and IPROS [（45.42±5.27） vs. （45.37±6.48）] between the two groups （both P 〉 0.05）. After the intervention, the scores of HEIQ and IPROS were significantly higher in the intervention group than in the control group （both P 〈 0.05）. Conclusion Applying positive psychology in nursing care for elderly patients with schizophrenia can improve their happiness and clinical rehabilitation effect.