Effects of intensive psychological intervention on treatment compliance,psychological status,and quality of life of patients with epilepsy

BACKGROUND Epilepsy is a nervous system disease characterized by recurrent attacks,a long disease course,and an unfavorable prognosis.It is associated with an enduring therapeutic process,and finding a cure has been difficult.Patients with epilepsy are predisposed to adverse moods,such as resistance,anxiety,nervousness,and anxiety,which compromise treatment compliance and overall efficacy.AIM To explored the influence of intensive psychological intervention on treatment compliance,psychological status,and quality of life(QOL)of patients with epilepsy.METHODS The clinical data of 105 patients with epilepsy admitted between December 2019 and July 2023 were retrospectively analyzed,including those of 50 patients who underwent routine intervention(control group)and 55 who underwent intensive psychological intervention(research group).Treatment compliance,psychological status based on the Self-Rating Anxiety Scale(SAS)and Depression Scale Self-Rating Depression Scale(SDS)scores,hope level assessed using the Herth Hope Scale(HHS),psychological resilience evaluated using the Psychological Resilience Scale,and QOL determined using the QOL in Epilepsy-31 Inventory(QOLIE-31)were comparatively analyzed.RESULTS Treatment compliance in the research group was 85.5%,which is significantly better than the 68.0%of the control group.No notable intergroup differences in preinterventional SAS and SDS scores were identified(P>0.05);however,after the intervention,the SAS and SDS scores decreased significantly in the two groups,especially in the research group(P<0.05).The two groups also exhibited no significant differences in preinterventional HHS,Connor-Davidson Resilience Scale(CD-RISC),and QOLIE-31 scores(P>0.05).After 6 months of intervention,the research group showed evidently higher HHS,CD-RISC,tenacity,optimism,strength,and QOLIE-31 scores(P<0.05).CONCLUSION Intensive psychological intervention enhances treatment compliance,psychological status,and QOL of patients with epilepsy.

Effect of psychological nursing interventions on effectiveness and quality of life in schizophrenia patients receiving modified electroconvulsive therapy

BACKGROUND Schizophrenia is a common and severe mental disorder characterized by severe thought disturbances,hallucinations,delusions,and emotional instability.For some patients,conventional treatment methods may not effectively alleviate symptoms,necessitating the use of alternative therapeutic approaches.Modified electroconvulsive therapy(MECT)is an effective treatment modality for schizophrenia,inducing anti-depressive and antipsychotic effects through the stimulation of brain electrical activity.AIM To explore the impact of psychological nursing intervention(PNI)before and after MECT on the efficacy and quality of life of patients with schizophrenia.METHODS Eighty patients with schizophrenia who received MECT treatment from 2021 to 2023 were randomly divided into two groups:The intervention group(n=40)and the control group(n=40).The intervention group received PNI before and after MECT,while the control group received routine nursing care.The efficacy of MECT was evaluated by the Positive and Negative Syndrome Scale(PANSS)and the Clinical Global Impression Scale(CGI)before and after the treatment.The quality of life was assessed by the Short Form 36 Health Survey(SF-36)after the treatment.RESUITS The intervention group had significantly lower scores of PANSS and CGI than the control group after the treatment(P<0.05).The intervention group also had significantly higher scores of SF-36 than the control group in all domains except physical functioning(P<0.05).CONCLUSION PNI before and after MECT can improve the efficacy and quality of life of patients with schizophrenia.It is suggested that nurses should provide individualized and comprehensive psychological care for patients undergoing MECT to enhance their recovery and well-being.

Application of psychological intervention in intensive care unit nursing for patients with severe acute pancreatitis

BACKGROUND Severe acute pancreatitis(SAP)is a familiar critical disease in the intensive care unit(ICU)patients.Nursing staff are important spiritual pillars during the treatment of patients,and in addition to routine nursing,more attention needs be paid to the patient’s psychological changes.AIM To investigate the effects of psychological intervention in ICU patients with SAP.METHODS One hundred ICU patients with SAP were hospitalized in the authors’hospital between 2020 and 2023 were selected,and divided into observation and control groups per the hospitalization order.The control and observation groups received routine nursing and psychological interventions,respectively.Two groups are being compared,using the Self-rating Anxiety Scale(SAS),Self-Determination Scale(SDS),Acute Physiology and Chronic Health Evaluation(APACHE)Ⅱ,and 36-item Short Form Health Survey(SF-36)scores;nursing satisfaction of patients;ICU care duration;length of stay;hospitalization expenses;and the incidence of complications.RESULTS After nursing,the SDS,SAS,and APACHEⅡ scores in the experimental group were significantly lower than in the control group(P<0.05).The SF-36 scores in the observation group were significantly higher than those in the control group(P<0.05).The nursing satisfaction of patients in the experimental group was 94.5%,considerably higher than that of 75.6% in the control group(P<0.05).The ICU care duration,length of stay,and hospitalization expenses in the observation group were significantly lower than those in the control group,and the incidence of complications was lower(P<0.05).CONCLUSION For patients with SAP,the implementation of standardized psychological intervention measures can effectively alleviate adverse psychological conditions.

Effect of group psychological intervention on oxidative stress,apoptosis and inflammatory response in patients with schizophrenia

Objective: To investigate the effect of group psychological intervention on oxidative stress, apoptosis and inflammatory response in patients with schizophrenia. Methods: A total of 80 patients with schizophrenia who received hospitalization in the hospital between September 2014 and October 2016 were collected and divided into control group (n=40) and observation group (n=40) according to the random number table method. Control group received routine clinical intervention, the observation group received group psychological intervention on the basis of conventional intervention, and the differences in serum contents of oxidative stress indicators, apoptosis molecules and inflammatory factors were compared between the two groups of patients before and after intervention. Results: Before intervention, the differences in serum levels of oxidative stress indexes, apoptosis molecules and inflammatory factors were not statistically significant between the two groups of patients. After intervention, serum SOD and bcl-2 levels of both groups of patients were higher than those before intervention while MDA, bax, Caspace-3, Fas, IL-1β, IL-6 and TNF-α levels were lower than those before intervention, and serum SOD and bcl-2 levels of observation group were higher than those of control group while MDA, bax, Caspace-3, Fas, IL-1β, IL-6 and TNF-α levels were lower than those of control group. Conclusion: Group psychological intervention can effectively inhibit the systemic oxidative stress and inflammatory response, and reduce the process of apoptosis in patients with schizophrenia.

Early psychological interventions for psychosis

The manuscript correspond to an editorial in order to assess the most important and effective interventions for people with psychosis in the early stages.

Family members' perspective of family Resilience's risk factors in taking care of schizophrenia patients

Objectives:The study was conducted to illustrate the risk factors of family resilience when taking care of patients with schizophrenia.Methods:The research used qualitative design with an interpretive phenomenology approach,with indepth interviews.The subjects were 15 family members who cared for patients with schizophrenia at the Menur Mental Hospital,Surabaya,Indonesia.The samples were obtained by purposive sampling technique.The data was collected by interview and using field notes,then analyzed by Collaizi technique.Results:This research produced two themes,they were care burden and stigma.Care burdens felt by families were confusion about the illness,emotional,physical,time,financial and social burdens,which leads to decrease in family quality of life.Families also experienced stigma called labeling,stereotyping,separation and discrimination.Stigmas meant that families faced psychological,social and intrapersonal consequences.This decreased the family quality of life and functionality of the family,and there were opportunities for negative results to family resilience.Health workers,especially psychiatric nurses,should review care burdens and stigma to develop nursing interventions so families are able to achieve resilience.Conclusions:This research explained how care burden and stigma are risk factors that must be managed by families to survive,rise up,and become better in caring for patients with schizophrenia.Nurses have a central role in assessing the level of care burdens and stigma in order to help families achieve resilience.Further research may focus on family-based nursing interventions to lower care burden,and community-based interventions to reduce stigma.

Effect of cognitive behavioral group therapy on rehabilitation of community patients with schizophrenia:A short-term randomized control trial

BACKGROUND The efficacy of cognitive behavioral group therapy(CBGT)for cognitive dysfunction and negative symptoms of schizophrenia is established,but more evidence is required.AIM To assess the effectiveness of CBGT combined with mental health education as a treatment for schizophrenia compared with mental health education alone.METHODS In all,120 schizophrenia out-patients were randomized into CBGT combined with mental health education or single mental health education.The primary outcomes were positive and negative symptoms,cognitive function,excitatory factor,anxiety and depression symptom improvements on the positive and negative syndrome scale score.Secondary outcome measures included social function and drug compliance.RESULTS There were significant differences between CBGT combined with mental health education and single mental health education on measures of positive and negative symptoms,cognitive functions,excitatory factor,anxiety and depression symptoms,and social functions.No other significant difference in outcomes was observed.CONCLUSION CBGT combined with mental health education may be relevant beneficial treatment method in reducing symptoms,cognitive and social functions of patients with schizophrenia.

家庭赋权干预对反复呼吸道感染患儿依从性和照顾者心理负担的影响

目的:探讨家庭赋权干预对反复呼吸道感染患儿依从性和照顾者心理负担的影响。方法:选取2021年3月-2022年3月某院收治的120例反复呼吸道感染患儿为研究对象,按照入院先后分为对照组和观察组,每组各60例;对照组采取常规干预,观察组采取家庭赋权干预联合常规干预;对比两组患儿干预前后依从性和肺功能[最大峰流速值(PEF)和第1秒用力呼气容积(FEV1)],患儿家属干预前后心理负担[家庭负担会谈量表(FBS)]、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]和生活质量[健康调查简表(SF-36)]。结果:干预后,两组行为配合、活动量、睡眠、饮食得分均升高(P<0.05),且观察组均高于对照组(t=3.233,3.558,2.685,3.418;P<0.05);干预后,两组PEF、FEV1均升高(P<0.05),且观察组高于对照组(t=2.383,4.289;P<0.05);干预后,两组家庭关系、日常活动、娱乐活动、经济负担、成员心理健康和成员躯体健康得分均降低(P<0.05),且观察组均低于对照组(t=-15.553,-11.972,-6.930,-10.163,-7.509,-8.799;P<0.05);干预后,两组SAS、SDS评分均下降(P<0.05),且观察组低于对照组(t=-7.045,-10.080;P<0.05);干预后,两组社交功能、角色功能、情感功能和躯体症状及量表总分均升高(P<0.05),且观察组均高于对照组(t=7.740,6.789,5.902,7.117,12.427;P<0.05)。结论:对反复呼吸道感染患儿给予家庭赋权干预效果显著,可提高患儿治疗依从性和肺功能,缓解患儿家属心理负担和焦虑、抑郁情绪,提高患儿生活质量。

基于行为诱导法的个性化心理护理结合家属赋权干预对学龄期毛细支气管炎门诊雾化吸入治疗患儿医疗恐惧及配合度的影响

目的探讨基于行为诱导法的个性化心理护理结合家属赋权干预在学龄期毛细支气管炎门诊雾化吸入治疗患儿中的应用效果。方法选取2020年9月至2022年3月我院收治的90例学龄期毛细支气管炎门诊雾化吸入治疗患儿为研究对象,以随机数字表法将其分为对照组和观察组,各45例。对照组采用常规护理,观察组采用基于行为诱导法的个性化心理护理结合家属赋权干预。比较两组的干预效果。结果干预后,观察组的医疗恐惧调查量表(CMFS)各维度评分均低于对照组(P<0.05)。观察组的配合度优良率高于对照组(P<0.05)。干预后,观察组的呼吸频率(RR)、功能残气量(FRC)低于对照组,潮气量(TV)高于对照组(P<0.05)。结论基于行为诱导法的个性化心理护理结合家属赋权干预可减轻学龄期毛细支气管炎门诊雾化吸入治疗患儿的医疗恐惧感,提高其配合度,也能促进患儿肺功能改善,值得临床推广应用。

家庭参与式护理在肝癌经导管动脉栓塞化疗患者中的应用效果

目的:观察家庭参与式护理肝癌经导管动脉栓塞化疗患者中的应用效果。方法:选取2021年3月至2022年3月该院收治的72例肝癌经导管动脉栓塞化疗患者进行前瞻性研究,按照随机数字表法将其分为观察组与对照组各36例。对照组采用常规护理,观察组在对照组基础上采用家庭参与式护理,比较两组营养指标(转铁蛋白、白蛋白)水平、T细胞亚群指标(CD4^(+)、CD4^(+)/CD8^(+))水平、Connor-Davidson心理弹性量表(CD-RISC)评分、汉密尔顿抑郁量表(HAMD)评分和胃肠道不适症状发生率。结果:护理后,两组转铁蛋白、白蛋白等营养指标水平和CD4^(+)、CD4^(+)/CD8^(+)等T细胞亚群指标水平,以及CD-RISC评分高于护理前,且观察组高于对照组,两组HAMD评分低于护理前,且观察组低于对照组,差异均有统计学意义(P<0.05);观察组胃肠道不适症状发生率为2.78%,明显低于对照组的22.22%,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用家庭参与式护理可提高肝癌经导管动脉栓塞化疗患者营养指标水平、T细胞亚群指标水平和CD-RISC评分,以及降其HAMD评分和胃肠道不适症状发生率,效果优于单纯常规护理。

孕期丧失女性创伤后应激障碍的研究现状

对孕期丧失女性创伤后应激障碍的特征与表现、影响因素、测评工具及心理干预方式进行综述,其中心理干预方式主要涵盖认知行为疗法、眼动脱敏与再加工、家庭支持计划及表达性书写等。提出应形成有针对性的干预方案,减少孕期丧失女性创伤后应激障碍。

基于叙事理论的亲情护理对成人癫痫患者自我管理能力的影响

目的探讨基于叙事理论的亲情护理服务干预对成人癫痫患者自我管理能力的影响。方法选取2020年8月至2022年8月中国科学技术大学附属第一医院神经内科收治的100例成人癫痫患者作为研究对象,随机分为对照组和观察组各50例。对照组予以常规护理,观察组予以基于叙事理论的亲情护理。比较两组成人癫痫患者的自我管理能力、生活质量及心理状态等。结果经两种不同方式护理后,观察组患者的自我管理能力评分显著高于对照组,差异有统计学意义(P<0.05);观察组患者的生活质量得分明显高于对照组,差异有统计学意义(P<0.05);观察组患者的焦虑自评量表及抑郁自评量表评分明显低于对照组,差异有统计学意义(P<0.05)。结论基于叙事理论的亲情护理服务干预可以强化成人癫痫患者的自我管理能力,提升患者的睡眠质量及生活质量,并可缓解患者的不良情绪,改善其心理状态,缩短其康复进程。

靶向心理干预对女性精神分裂症患者心理状态及服药依从性的影响

目的 探讨以问题为导向实施靶向心理干预对女性精神分裂症患者心理状态及服药依从性的影响。方法 选取2021年1月至2023年6月来我院就诊330例的女性精神分裂症患者,按照单双号法随机分为干预组和对照组各165例。干预组实施以问题为导向实施靶向心理干预,通过分析患者个体的心理特征和问题根源,制定针对性的干预计划,对患者心理状态和行为进行干预,帮助其解决心理问题或提升心理健康水平;对照组予以常规心理干预,通过心理咨询、药物治疗等,帮助其更好地认识和应对自己的情绪,调节内心的焦虑和压力。在干预前、干预1个月后,比较两组患者的精神症状改善情况[简明精神病量表(BPRS)、症状自评量表(SCL-90)]、自我管理能力[自我护理能力测定量表(ESCA)]、社会功能[精神障碍患者社会功能缺损评定量表(SSFD-MD)]、心理状态[中文版卡尔加里精神分裂症抑郁量表(CDSS-C)、自我感受负担量表(SPBS)]、服药依从性[药物依从性量表(MARS)、药物信念问卷(BMQ)]。结果 干预1个月后,两组患者BPRS、SCL-90、SSFD-MD、CDSS-C和SPBS评分均较干预前降低,且干预组低于对照组(P<0.05);两组ESCA、MARS和BMQ评分较干预前提高,且干预组高于对照组(P<0.05)。结论 以问题为导向的靶向心理干预方法在女性精神分裂症患者的护理中具有显著的优势,通过改善患者的精神状态、自我管理能力和社会功能,提高患者心理状态和服药依从性,为患者重建健康的生活奠定坚实的基础。

家庭二元正念干预方案在学龄期癫痫患儿中的应用研究

目的 探讨基于家庭系统理论的二元正念干预对学龄期癫痫患儿情绪行为问题和照顾者负性情绪的改善效果。方法 采用便利抽样法,将60对学龄期癫痫患儿及照顾者按照住院时间分为对照组和干预组各30对。对照组实施神经内科常规护理,干预组在常规护理基础上实施基于家庭系统理论的二元正念干预。于干预前、干预结束时、干预后3个月,采用长处与困难问卷、焦虑自评量表、抑郁自评量表分别评估两组患儿情绪行为得分,照顾者焦虑、抑郁水平。结果 干预后两组患儿长处与困难问卷5个因子得分及照顾者焦虑、抑郁得分比较,差异有统计学意义(均P<0.05)。结论 基于家庭系统理论的二元正念干预可有效改善癫痫患儿情绪行为问题,缓解照顾者的焦虑和抑郁情绪。

外化叙事疗法联合心理护理干预在精神分裂症患者康复中的应用效果

目的探讨外化叙事疗法联合心理护理干预在精神分裂症患者康复中的应用效果。方法选取2022年1月—2023年1月收治的118例精神分裂症患者为对象,采取1:1比例法分组,每组59例,其中对照组给予常规心理干预,观察组给予外化叙事疗法联合心理护理干预,对比两组症状缓解情况、病耻感、生活质量及护理满意度。结果护理干预后,观察组症状缓解情况、病耻感评分均低于对照组,生活质量评分及护理满意度评分高于对照组(均P<0.05)。结论在精神分裂症患者康复中实施外化叙事疗法联合心理护理干预可取得更为理想的干预效果,积极缓解患者精神状况,降低其产生病耻感等不良心理,进一步改善其生活质量,进而利于获得较高满意度。

系统化家庭干预对哮喘患儿心理状态、治疗依从性及哮喘症状的影响

目的:探讨应用系统化家庭干预哮喘患儿后对患儿心理状态、治疗依从性及哮喘症状的影响。方法:选取2017年8月-2018年8月入院的54例哮喘患儿纳入对照组,采用常规模式干预,2018年9月-2019年8月入院的54例哮喘患儿纳入观察组,采用系统化家庭干预,为期干预4周。观察两组患者的依从性、心理状况、哮喘状态控制情况及生命质量情况。结果:干预后观察组患儿依从性明显优于对照组(Z=-2.203,P<0.05),观察组患儿SAS评分明显高于对照组(t=4.120,P<0.05),观察组患儿C-ACT评分均明显高于对照组(t=12.288,P<0.05),观察组患儿PAQLQ量表症状、活动、情感维度评分明显高于对照组(t=-4.272,-7.014,-2.679;P<0.05)。结论:哮喘患儿应用系统化家庭干预有助于控制病情,有效改善患儿生命质量和心理行为问题,提高治疗依从性。

心理联合睡眠干预对精神分裂症患者的应用效果

目的:探讨心理联合睡眠干预对精神分裂症患者心理状态、睡眠质量的应用效果。方法:选取2023年2月至2023年9月福州神经精神病防治院收治的精神分裂症患者83例作为研究对象,按照随机数字表法分为对照组(n=41)和观察组(n=42)。对照组采取常规护理,观察组采取心理联合睡眠干预,对2组患者干预前、后的心理状态、睡眠质量进行评估。结果:干预后,2组在负面得分方面差异明显,尤其是观察组焦虑、抑郁评分均显著较对照组低,差异有统计学意义(P<0.05);同时干预后2组在睡眠评分方面差异明显,且观察组得分显著低于对照组,差异有统计学意义(P<0.05)。结论:通过对精神分裂症患者实施心理联合睡眠干预能够有效促进其心理状态的调节,提高睡眠质量,延长入睡时间,值得运用推广。

家属参与式干预对膀胱癌根治术后尿路造口患者心理状态和生活质量的影响

目的探讨家属参与式干预对膀胱癌根治术后尿路造口患者心理状态和生活质量的影响。方法根据干预方法的不同将104例膀胱癌根治术后尿路造口患者分为对照组(n=52,常规干预)和观察组(n=52,家属参与式干预)。比较两组患者的心理状态[焦虑自评量表(SAS)和抑郁自评量表(SDS)]、生活质量[癌症患者生命质量测定量表(FACT-G)]、并发症发生情况及满意度。结果干预后,两组患者SAS、SDS评分均低于本组干预前,观察组患者SAS、SDS评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者FACT-G各维度评分均高于本组干预前,观察组患者FACT-G各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者并发症总发生率低于对照组,总满意度高于对照组,差异均有统计学意义(P﹤0.05)。结论家属参与式干预可改善膀胱癌根治术后尿路造口患者的心理状态和生活质量,降低并发症发生率,进而提高患者的满意度。

高职学生心理健康问题的家庭教育干预策略探微

高职教育的特点决定学生在学习与就业压力、人际关系等方面存在一定的困惑和挑战。这些问题如果得不到及时的干预,会对学生的心理健康产生负面影响。家庭教育在促进学生心理健康中发挥着重要作用,对高职学生心理健康问题的家庭教育干预策略进行探究,能提高家庭教育质量,提升学生综合素养,促进学生全面发展。高职学生心理健康问题的家庭教育干预可采取以下策略:采用科学的家庭教育方式,加强与孩子的有效沟通;提升家长素质,关注孩子的心理状态;发挥家长榜样作用,给予孩子良好的熏陶。

多模式分层心理干预联合家属陪产宣教对无痛分娩初产妇身心应激及分娩恐惧影响

目的 探讨多模式分层心理干预联合家属陪产宣教对无痛分娩初产妇身心应激及分娩恐惧影响。方法 选择2020年3月—2023年4月本院产科收治的76例初产妇开展研究,根据简单随机盲选法将其分成联合组、对照组,每组38例。干预前、干预后,评估两组患者心理健康指标[汉密尔顿焦虑自评量表(HAMA)、汉密尔顿抑郁自评量表(HAMD)]、分娩恐惧指标[分娩恐惧测评量表(CAQ)]、分娩结局。结果 与对照组干预后HAMA评分、HAMD评分、CAQ评分相比,联合组相关评分更低,差异有统计学意义(P<0.05);与对照组自然分娩率相比,联合组更高,差异有统计学意义(P<0.05);产后出血量相比,联合组更低,差异有统计学意义(P<0.05);总产程相比,联合组更短,差异有统计学意义(P<0.05);新生儿出生5min阿氏评分相比,联合组更高,差异有统计学意义(P<0.05)。结论 无痛分娩初产妇护理干预联合应用多模式分层心理干预与家属陪产宣教,可有效减轻初产妇的身心应激反应,降低其分娩恐惧,进而改善产妇的分娩结局。