工娱干预在康复期精神分裂症患者中的应用效果

Application effect of occupation recreational intervention on patients with convalescent schizophrenia

目的分析工娱干预对康复期精神分裂症患者自我效能、生活自理能力及社会功能的影响。方法选取2017年1月~2018年11月我院收治的70例康复期的精神分裂症患者作为研究对象,采用随机数字表法分为观察组和对照组,每组各35例。对照组实施常规护理干预,观察组实施工娱干预。观察两组干预前、干预2个月后自我效能[一般自我效能感(GSES)量表]、生活自理能力(Barthel指数)及社会功能[社会功能缺陷筛选量表(SDSS)]评分变化。结果干预前,两组的GSES评分比较,差异无统计学意义(P>0.05);干预后,对照组GSES评分与干预前比较,差异无统计学意义(P>0.05);观察组GSES评分高于本组干预前,差异有统计学意义(P<0.05);干预后,观察组GSES评分高于对照组,差异有统计学意义(P<0.05)。干预前,两组的Barthel评分比较,差异无统计学意义(P>0.05)。干预后,两组Barthel评分均高于本组干预前,差异有统计学意义(P<0.05);观察组干预后Barthel评分高于对照组,差异有统计学意义(P<0.05)。干预前,两组的SDSS评分比较,差异无统计学意义(P>0.05);干预后,两组SDSS评分均低于本组干预前,差异有统计学意义(P<0.05);观察组干预后SDSS评分低于对照组,差异有统计学意义(P<0.05)。结论对康复期精神分裂症患者实施工娱干预可有助于增强患者的自我效能,改善其生活自理能力与社会功能。

Objective To analyze the effects of occupation recreational intervention on self-efficacy,self-care ability of daily life and social function of patients with convalescent schizophrenia.Methods A total of 70 patients with convalescent schizophrenia in our hospital from January 2017 to November 2018 were selected as research object and they were divided into observation group and control group according to the random number table method,35 cases in each group.The control group was given conventional nursing intervention,and the observation group was given occupation recreational intervention.The scores of self-efficacy(general self-efficacy scale[GSES]),self-care ability of daily life[Barthel index]and social function(social disability screening schedule[SDSS])were observed in the two groups before intervention and after 2 months of intervention.Results Before intervention,there was no significant difference in the GSES score between the two groups(P>0.05).After intervention,there was no significant difference in GSES score in control group compared with that before intervention(P>0.05),and the GSES score in observation group was higher than that before intervention,the difference was statistically significant(P<0.05).Before intervention,there was no statistically significant difference in Barthel score between the groups(P>0.05).After intervention,the Barthel score in the two groups was significantly higher that before intervention(P<0.05),the Barthel score in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Before intervention,there was no statistically significant difference in SDSS score between the groups(P>0.05).After intervention,the SDSS score in the two groups was significantly lower that before intervention(P<0.05),the SDSS score of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion Occupation recreational intervention for patients with convalescent schizophrenia can help to enhance self-efficacy and improve the self-care ability of daily life and social function.