叙事护理联合认知行为干预在首发精神分裂症患者中的应用

Application effect of narrative nursing combined with cognitive behavioral intervention in patients with first-episode schizophrenia

目的探究叙事护理联合认知行为干预在首发精神分裂症(first-episode schizophrenia,FES)患者中的应用效果,以期为提高精神分裂症患者临床疗效提供新的研究思路。方法随机抽样法选取聊城市第四人民医院2021年1月至2021年12月收治的100例FES患者为研究对象。按照入院时间分组,其中2021年1~6月收治的42例为对照组,接受常规护理和认知行为干预;2021年7~12月收治的58例为观察组,接受叙事护理联合认知行为干预。对比两组患者干预前后症状评分、总体幸福感和护理满意度。结果干预6 w、12 w、18 w后,两组患者阳性症状评分、阴性症状评分、一般精神病理症状评分均较干预前降低,且观察组各项评分均低于同时点对照组,组间差异具有统计学意义(P<0.05)。干预18 w后,两组患者总体幸福感量表(GWB)评分较干预前升高,且观察组评分高于对照组,组间差异具有统计学意义(P<0.05)。观察组患者对护理干预的总体满意度为89.66%(52/58),明显高于对照组的73.81%(31/42),组间差异具有统计学意义(P<0.05)。结论叙事护理联合认知行为干预可以加快改善FES患者的临床症状,提高总体幸福感和生活质量,并有助于构建更加和谐的护患关系。

Objective To explore the effect of narrative nursing combined with cognitive behavioral intervention in patients with the first-episode schizophrenia(FES),in order to provide new research ideas for improving the clinical efficacy of schizophrenia patients.Methods A total of 100 patients with FES admitted to the Fourth People's Hospital of Liaocheng from January 2021 to December 2021 were selected as the research objects by random sampling method.According to the time of admission,42 cases admitted from January to June 2021 were the control group and received routine nursing and cognitive behavioral intervention.A total of 58 patients admitted from July to December 2021 were set as the observation group and received narrative nursing combined with cognitive behavioral intervention.The symptom scores,general well-being and nursing satisfaction were compared between the two groups before and after intervention.Results After 6 weeks,12 weeks and 18 weeks of intervention,the positive symptom scores,negative symptom scores and general psychopathology symptom scores of the two groups were lower than those before intervention,and the scores of the observation group were lower than those of the control group at the same time point,and the differences between the two groups were statistically significant(P<0.05).After 18 weeks of intervention,the General Well-Being Scale(GWB)scores of the two groups were higher than those before intervention,and the score of the observation group was higher than that of the control group,and the differences were statistically significant(P<0.05).The overall satisfaction with nursing intervention in the observation group was 89.66%(52/58),which was significantly higher than 73.81%(31/42)in the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusions Narrative nursing combined with cognitive behavioral intervention can accelerate the improvement of clinical symptoms of FES patients,improve general well-being and quality of life,and help to build a more harmonious nurse-patient relationship.