CAJ | 학술논문

目的探讨循证护理模式下心理与行为干预对精神分裂症患者的康复效果.方法将102例住院精神分裂症患者随机分成实验组和对照组各51例,在药物治疗的同时,实验组患者进行循证心理与行为干预,对照组患者给予传统的康复护理,两组均采用护士用简明精神病量表(N-BPRS)进行评定.结果入组时两组N-BPRS总分差异无统计学意义(P＞0.05),入组4周、8周的N-BPRS总分差异有统计学意义(均P＜0.01),出院6个月随访除饮食睡眠外,其余5项均有差异.结论循证心理与行为干预能提高患者治疗的依从性,维持疗效,减少复发,延缓功能衰退,对患者的康复有一定的促进作用.
목적 탐토순증호리모식하심리여행위간예대정신분렬증환자적강복효과.방법 장102례주원정신분렬증환자수궤분성실험조화대조조각51례,재약물치료적동시,실험조환자진행순증심리여행위간예,대조조환자급여전통적강복호리,량조균채용호사용간명정신병량표(N-BPRS)진행평정.결과 입조시량조N-BPRS총분차이무통계학의의(P＞0.05),입조4주、8주적N-BPRS총분차이유통계학의의(균P＜0.01),출원6개월수방제음식수면외,기여5항균유차이.결론 순증심리여행위간예능제고환자치료적의종성,유지료효,감소복발,연완공능쇠퇴,대환자적강복유일정적촉진작용.
Objective To explore effects of evidence-based psychological and behavioral intervention on the rehabilitation of patients with schizophrenia. Methods Inpatients with schizophrenia were randomly divided into experimental group ( n = 51 ) and control group ( n = 51 ). Two groups were treated with same medication therapy. The experimental group conducted evidence-based psychological and behavioral interventions on the basis of routine nursing the control group performed routine nursing. Both groups were assessed by Nursing Brief Psychiatric Rating Scale (N-BPRS). Results N-BPRS total scores were similar in two groups before intervention. At 4 weeks and 8 weeks after intervention, the scores were significantly different between two groups. When patients discharged at 6 months later, besides diet and sleep, the rest items had differences between two groups. Conclusions Evidence-based psychological and behavioral interventions can promote the rehabilitation of patients with schizophrenia.