基于行为转变理论的护理干预应用于精神分裂症患者中的效果及对患者认知功能、情绪状态的影响

Effect of nursing intervention based on behavioral change theory in patients with schizophrenia and its influence on cognitive function and emotional state

目的分析基于行为转变理论的护理干预在精神分裂症患者中的效果及对认知功能、情绪状态的影响。方法选取2020年9月至2023年3月在上饶市第三人民医院进行精神分裂症治疗的140例患者为研究对象,按照随机数字表法将其分为对照组(70例)和研究组(70例)。两组均接受常规治疗,对照组给予常规护理,研究组给予行为转变理论干预。干预前后采用阳性与阴性症状量表(PANSS)、匹兹堡睡眠质量指数量表(PSQI)、精神分裂症认知功能成套测验共识版(MCCB)、个人和社会功能量表(PSP)、汉密尔顿抑郁量表(HAMD-17)、汉密尔顿焦虑量表(HAMA)评估患者的精神分裂症临床症状、睡眠质量、认知功能、社会功能、抑郁及焦虑情况,并比较两组患者的满意度。结果干预后,研究组的PANSS评分、PSQI评分、HAMD-17、HAMA评分水平低于对照组,差异有统计学意义(P<0.05);研究组MMSE、PSP评分水平高于对照组,差异有统计学意义(P<0.05);研究组的总满意度高于对照组,差异有统计学意义(P<0.05)。结论对精神分裂症患者采用行为转变理论的护理进行干预,改善患者认知功能障碍,缓解负性情绪,提升社会功能,改善临床症状。

Objective To analyze the effect of nursing intervention based on behavioral change theory in patients with schizophrenia and its influence on cognitive function and emotional state.Methods A total of 140 patients treated for schizophrenia in Shangrao Third People's Hospital from September 2020 to March 2023 were selected as the study ob-jects,and they were divided into control group(70 cases)and study group(70 cases)according to random number table method.Both groups received conventional treatment,the control group received routine nursing,the study group received behavioral change theory intervention.Positive and negative symptom scale(PANSS),Pittsburgh sleep quality index(PSQI),MATRICS consensus cognitive battery(MCCB),personal and social functioning scale(PSP),Hamilton depression scale(HAMD-17),and Hamilton anxiety scale(HAMA)were used to evaluate the clinical symptoms,sleep quality,cog-nitive function,social function,depression and anxiety of patients with schizophrenia before and after intervention,and the satisfaction of the two groups was compared.Results After the intervention,the PANSS score,PSQI score,HAMD-17,and HAMA scores of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).MMSE and PSP scores in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total satisfaction of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The nursing intervention of schizophrenia patients is used to improve their cognitive dysfunction,relieve negative emotions,enhance social function,and improve clinical symptoms.