团体自我肯定训练对精神分裂症患者病耻感的干预效果研究

Effects of a group self-assertiveness training intervention on stigma of patients with schizophrenia

目的探讨团体自我肯定训练对精神分裂症患者病耻感的干预效果。方法选取65例精神分裂症患者,随机分为试验组(35例)和对照组(30例)。试验组在常规护理的基础上进行团体自我肯定训练,每周2次,共8次。对照组在常规护理的基础上增加2次手工活动。两组干预前后使用病耻感评估量表和自尊量表评价干预效果。结果试验组组内比较结果显示,干预后病耻感总得分、社交因子得分、能力因子得分及治疗因子得分低于干预前,差异有统计学意义(t=-7.00,-5.01,3.94,5.42,P<0.05)。对照组组内比较结果显示,病耻感总得分、社交因子得分、能力因子得分及治疗因子得分后测低于前测,差异无统计学意义(t=1.33,1.87,0.84,0.07,P>0.05)。干预前后两组病耻感总分和各维度得分差值的组间比较,差异有统计学意义(t=-6.68,-2.11,3.14,3.42,P<0.05)。干预前后两组自尊总分差值的组间比较,差异有统计学意义(Z=-3.83,P<0.05)。结论团体式自我肯定训练能够有效降低患者的病耻感水平,提高患者的自尊水平。

Objective To investigate the effects of a group self-assertiveness training intervention on stigma of patients with schizophrenia. Methods Sixty-five patients with schizophrenia were randomly divided into the experi- mental group and the control group. The experimental group （n=35） received group self-assertiveness training twice a week for four weeks among patients in groups of 8 to 9 participants. The control group（n=30） received routine nursing care as well as two hand-making activities. Both groups completed the stigma assessment scale and self-es- teem scale before and after the intervention. Results Following the intervention,the participants＇ total scores and scores of each subscale on the stigma were lower, as well as for each of the stigma scale dimensions. The differ- ences were statistically significant （t =-7.00, -5.01,3.94,5.42,P〈0.05） within the experimental group. The control group＇s stigma scores were also lower than the previous measurement,but the difference was not statistically signifi- cant（t=l.33,1.87,0.84,1.07,P〉0.05）. The d-value comparison results of the stigma assessment scale between two groups showed that the difference was statistically significant（t=-6.68,-2.11,3.14,3.42,P〈0.05）. The d-value comparison results on the self-esteem assessment scale between two groups indicated that the difference was statistically signifi- cant（Z=-3.83,P〈0.05）. Conclusion The group self-assertiveness training intervention appeared to effectively reduce patients＇ stigma of having schizophrenia and improve their level of self-esteem.