利伯曼理论联合特质正念与控制点在急性期精神分裂症中的应用及对患者不良情绪的影响

Application of Lieberman Theory Combined with Trait Mindfulness and Control Point in Acute Schizophrenia and its Effect on Patients Bad Mood

[目的]探讨利伯曼理论联合特质正念与控制点在急性期精神分裂症中的应用及对患者不良情绪的影响。[方法]选取2018年3月至2020年3月本院收治的114例急性期精神分裂症患者,根据入院顺序分为观察组(2019年7月至2020年3月)和对照组(2018年3月至2019年6月),各57例。对照组给予常规干预.观察组在对照组的基础上给予利伯曼理论联合特质正念与控制点,连续干预8周。比较两组患者干预前、干预4周及8周后不良情绪(PANAS)、正念水平(MAAS).控制水平(LOCS)。[结果]干预4周、8周后,两组患者正性情绪评分高于千预前,负性情绪评分低于干预前,且观察组与对照组比较差异均有统计学意义(P<0.05);两组患者觉知行动、对内在经验的非反应性、对内在经验的非评判性评分均高于干预前,且观察组均高于对照组,差异有统计学意义(P<0.05);两组患者内在控制感、外在控制感LOCS评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组护理满意度为94.74%(54/57).高于对照组的73.68%(42/57).差异有统计学意义(χ^(2)=9.50,P=0.002<0.05)。[结论]利伯曼理论联合特质正念与控制点通过生活技能、社会独立技能及正念干预措施能缓解急性期精神分裂症患者不良情绪,提高正念水平,增强自我控制能力。

[Objective]To explore the application of Lieberman theory combined with trait mindfulness and control point in acute schizophrenia and its effect on patients'bad mood.[Methods]114 patients with acute schizophrenia treated in our hospital from March 2018 to March 2020 were divided into observation group(July 2019 to March 2020)and control group(March 2018 to June 2019),with 57 cases in each group.The control group was given routine intervention,and the observation group was given Lieberman theory combined with trait mindfulness and control point for 8 weeks.The bad mood(Panas),mindfulness level(MAAS)and control level(LOCS)were compared between the two groups before intervention,4 weeks and 8 weeks after intervention.[Results]After 4 and 8 weeks of intervention,the positive emotion score of the two groups was higher than that before the intervention.and the negative emotion score was lower than that before the intervention.and there was significant difference between the observation group and the control group(P<0.05);The perceived action,non reactivity to internal experience and non critical scores of internal experience in the two groups were higher than those before intervention,and the observation group was higher than that in the control group(P<0.05);The LOCS scores of internal control and external control in the two groups were higher than those before interven-tion,and the observation group was higher than that in the control group(P<0.05).The nursing satisfaction in the observation group was 94.74%(54/57),which was higher than 73.68%(42/57)in the control group(χ^(2)=9.50,P=0.002<0.05).[Conclusion]Lieberman's theory combined with trait mindfulness and control point can alleviate the bad mood of patients with acute schizophrenia,improve the level of mindfulness and enhance the ability of self-control through life skills,social independence skills and mindfulness intervention.