协助式农疗对慢性精神分裂症长期住院患者自我效能感和生活质量的影响

Assisted farming therapy on self-efficacy and quality of life in long-term hospitalised patients with chronic schizophrenia

目的 探讨协助式农疗对慢性精神分裂症长期住院患者阴性症状、自我效能感、生活质量的影响。方法 采用便利抽样法,选取2019年2月至2020年1月在本院连续住院治疗>2年的90例慢性精神分裂症患者,采用随机数字表法分为两组,每组各45例。对照组给予抗精神病药物治疗和精神科常规护理,研究组在对照组干预措施基础上加用协助式农疗。分别在干预前后使用阳性与阴性症状量表(positive and negative symptom scale,PANSS)、一般自我效能感量表(general self-efficacy scale,GSES)、精神分裂症生活质量量表(schizophrenia quality of life scale,SQLS)对两组患者精神症状、自我效能感及生活质量进行评价。结果 干预前两组患者PANSS、GSES、SQLS评分比较,差异无统计学意义;干预后两组患者PANSS阴性症状、GSES评分、SQLS评分干预前后差值评分比较,差异均有统计学意义(均P<0.001),研究组PANSS阴性症状、SQLS评分低于对照组,GSES评分高于对照组。结论 慢性精神分裂症长期住院患者参加协助式农疗,能够促进阴性症状改善,提升患者自我效能感及生活质量,为患者早日回归社会提供临床支持与依据。

Objective To explore the effect of assisted farming therapy on negative symptoms, self-efficacy and quality of life in long-term hospitalised patients with chronic schizophrenia. Methods From February 2019 to January 2020, 90 patients who had been hospitalised over two years for chronic schizophrenia were selected by convenience sampling method. The patients were randomly divided into two groups, with 45 per group. The control group was treated with antipsychotic drugs and a routine psychiatric nursing. The study group was offered with assisted farming therapy in addition to the treatment in the control group. The positive and negative symptom scale(PANSS), general self-efficacy scale(GSES) and schizophrenia quality of life scale(SQLS) were used to evaluate the mental status, self-efficacy and quality of life of the patients in the two groups, before and after the intervention. Results Before the farming therapy, there were no significant differences in scores of PANSS, GSES and SQLS between the two groups. After the farming therapy, the scores of PANSS negative symptoms and SQLS in the study group were lower than those of the control group, and the GSES score in the study group was higher than that of the control group. There were significant differences in scores of PANSS negative symptoms, GSES, SQLS and the interventional difference between the two groups(P<0.001). Conclusions The assisted farming therapy is effective for long-term hospitalised patients with chronic schizophrenia. It promotes the negative symptoms, improves the self-efficacy and quality of life of the patients. Assisted farming therapy would provide a clinical basis and support for patients returning to the society sooner.