团体自我肯定训练对精神分裂症患者自尊水平及病耻感的干预分析

目的探讨团体自我肯定训练对精神分裂症患者自尊水平及病耻感的干预效果。方法将符合入组条件的80例精神分裂症患者随机为对照组和观察组,每组各40例。对照组患者给予常规康复护理联合一般心理护理,观察组患者在常规康复护理的基础上进行团体自我肯定训练,1次/周,共8次。在干预前和干预后使用自尊量表(SES)、精神疾病病耻感调查量表(ISMI)、希望量表(Herth)进行评估。结果干预后观察组SES量表、Herth量表得分高于对照组,差异有统计学意义(P<0.05)。干预后观察组ISMI量表总分低于对照组,差异有统计学意义(P<0.05)。结论团体自我肯定训练能够有效提升精神分裂症患者自尊水平和希望水平,降低病耻感。

Objective To investigate the effects of a group self-assertiveness training intervention on self-esteem and stigma of patients with schizophrenia.Methods A total of 80 patients with schizophrenia were randomly divided into the control group and the experimental group,with 40 cases in each group.The control group patients were given conventional rehabilitation nursing combined with general psychological care,and the patients in the experimental group received group self-affirmation training in the basis of routine rehabilitation nursing,once a week,a total of 8 times.The self-esteem scale(SES),mental illness,disease shame scale(ISMI),hoping for assessment scale(Herth)scale were used in the intervention.Results After the intervention,the SES scale and Herth scale scores in the experimental group were higher than those in the control group,and the differences was statistically significant(P<0.05).After the intervention,the total score in the ISMI scale in the experimental group was lower than that in the control group,and the differences was statistically significant(P<0.05).Conclusion The group self-assertiveness training intervention can effectively improve the level of self-esteem and hope of schizophrenia patients and reduce stigma.