动机性访谈对精神分裂症患者的影响

Influence of motivational interview on patients with schizophrenia

目的探讨动机性访谈(MI)对精神分裂症(SZ)患者的影响。方法选取2018年6月—2020年6月枣庄市精神卫生中心收治的98例SZ患者作为研究对象,采用随机数字表法分为对照组(49例)与实验组(49例)。对照组应用常规干预方法,实验组在对照组基础上加用MI。比较两组干预前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及依从性情况。结果干预前,两组SAS、SDS评分比较,差异无统计学意义(P>0.05)。干预后,两组SAS、SDS评分均低于干预前,且实验组SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。干预前,两组依从率比较,差异无统计学意义(P>0.05)。干预后,两组依从率均高于干预前,且实验组依从率高于对照组,差异有统计学意义(P<0.05)。结论MI可有效改善SZ患者的心理状态、治疗依从性,值得临床普遍应用。

Objective To explore the influence of motivational interview(MI)on patients with schizophrenia(SZ).Methods Ninety-eight patients with SZ treated in Zaozhuang Mental Health Center from June 2018 to June 2020 were selected as research subjects,and were divided into the control group(n=49)and the experimental group(n=49)by the random number table method.The control group was given routine intervention,and the experimental group was given MI on the basis of the control group.The self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score and compliance before and after intervention in the two groups were compared.Results Before intervention,there were no statistically significant differences in the SAS and SDS scores in the two groups(P>0.05).Before intervention,there was no statistically significant difference in the compliance rate in the two groups(P>0.05).After intervention,the compliance rates in the two groups were higher than those before intervention,the compliance rate in the experimental group was higher than that in the control group,with statistically significant differences(P<0.05).Conclusion MI can effectively improve the mental state and treatment compliance of patients with SZ,which is worthy of clinical application.