正念减压疗法对精神分裂症患者的影响

Effects of Mindfulness-based Stress Reduction Therapy on Patients with Schizophrenia

目的:探讨正念减压疗法对精神分裂症患者的影响。方法:选取2017年6月1日~2019年6月1日收治的60例精神分裂症患者为研究对象,采用随机数字表法分为对照组和研究组各30例,对照组给予常规护理,研究组在常规护理基础上实施正念减压疗法;比较两组干预前后疾病情况[采用简易精神病评定量表(BPRS)]、心理弹性[采用心理弹性量表(CD-RISC)]、自我管理能力[采用精神分裂症自我管理量表(SSMIS)]、生活质量[采用精神分裂症患者生活质量量表(SQLS)]及护理满意度。结果:干预3个月后,两组BPRS评分均高于干预前(P<0.05),且研究组高于对照组(P<0.05);干预3个月后,两组CD-RISC中坚韧性评分高于干预前(P<0.05),且研究组高于对照组(P<0.05),研究组力量性、乐观性评分均高于干预前和对照组(P<0.05);干预3个月后,两组SSMIS、SQLS各维度评分均优于干预前(P<0.05),且研究组优于对照组(P<0.05);研究组护理满意度高于对照组(P<0.05)。结论:正念减压疗法有利于缓解精神分裂症患者疾病症状,改善其心理弹性,提高患者自我管理能力,对其生活质量有一定正面意义,能提升患者护理满意度。

Objective:To explore the effect of mindfulness-based stress reduction therapy on patients with schizophrenia.Methods:A total of 60 schizophrenic patients admitted from June 1,2017 to June 1,2019 were selected as the research objects,and were divided into the control group and the study group by the random number table method with 30 cases each.The control group was given routine nursing,and the study group was implemented the mindfulness-based stress reduction therapy on the basis of routine nursing.The disease situation[the basic psychiatric rating scale(BPRS)],psychological resilience[Connor-Davidson resilience scale(CD-RISC)],self-management ability[the schizophrenia self-management scale(SSMIS)],the quality of life[the schizophrenia patients quality of life scale(SQLS)],and nursing satisfaction were compared between the two groups before and after the intervention.Results:After 3 months of intervention,BPRS scores of both groups were higher than those before intervention(P<0.05),and the study group was higher than the control group(P<0.05).After 3 months of intervention,the toughness of CD-RISC in the two groups was higher than that before intervention(P<0.05),and the study group was higher than the control group.The strength and optimism scores of the study group were higher than those of the control group and before the intervention(P<0.05).After 3 months of intervention,SSMIS and SQLS scores in both groups were better than before intervention(P<0.05),and the study group was better than the control group(P<0.05).Nursing satisfaction in the study group was higher than that in the control group(P<0.05).Conclusion:Mindfulness-based stress reduction therapy is beneficial to relieve the symptoms of schizophrenia,improve their mental resilience,and promote patients′self-management ability.It has a certain positive significance to their quality of life,which can improve the satisfaction with the care of patients.