齐鲁护理杂志
齊魯護理雜誌
제로호리잡지
JOURNAL OF QILU NURSING
2015年
9期
36-37,38
,共3页
谭菜军%叶会连%黄美莲%张月莲%钟丽红
譚菜軍%葉會連%黃美蓮%張月蓮%鐘麗紅
담채군%협회련%황미련%장월련%종려홍
认知行为干预%首发精神分裂症%康复效果
認知行為榦預%首髮精神分裂癥%康複效果
인지행위간예%수발정신분렬증%강복효과
Cognitive behavior intervention%Schizophrenia%Rehabilitation
目的：探讨认知行为干预对首发精神分裂症患者疾病康复及服药依从性的影响。方法：将120例首发精神分裂症患者随机分为研究组和对照组各60例，两组均接受常规抗精神病药物治疗和护理，在此基础上研究组予以认知行为干预，对照组接受常规健康教育及康疗活动；于干预前及干预第6周末采用自制的药物认知与服药态度评估表及简明精神病评定量表（ BPRS）来评价患者服药依从性的优劣及疾病的康复情况。结果：干预8周后，研究组服药态度、服药依从性明显改善，与对照组比较差异均有统计学意义（P ＜0.01），患者 BPRS 总分及各因子得分较对照组显著降低（P ＜0.01）。结论：对首发精神分裂症患者实施认知行为干预，有助于患者认识自身疾病，提高其服药依从性，对改善患者的病情有重要的临床意义，为预防复发、减少住院次数、促进早日回归社会奠定基础。
目的：探討認知行為榦預對首髮精神分裂癥患者疾病康複及服藥依從性的影響。方法：將120例首髮精神分裂癥患者隨機分為研究組和對照組各60例，兩組均接受常規抗精神病藥物治療和護理，在此基礎上研究組予以認知行為榦預，對照組接受常規健康教育及康療活動；于榦預前及榦預第6週末採用自製的藥物認知與服藥態度評估錶及簡明精神病評定量錶（ BPRS）來評價患者服藥依從性的優劣及疾病的康複情況。結果：榦預8週後，研究組服藥態度、服藥依從性明顯改善，與對照組比較差異均有統計學意義（P ＜0.01），患者 BPRS 總分及各因子得分較對照組顯著降低（P ＜0.01）。結論：對首髮精神分裂癥患者實施認知行為榦預，有助于患者認識自身疾病，提高其服藥依從性，對改善患者的病情有重要的臨床意義，為預防複髮、減少住院次數、促進早日迴歸社會奠定基礎。
목적：탐토인지행위간예대수발정신분렬증환자질병강복급복약의종성적영향。방법：장120례수발정신분렬증환자수궤분위연구조화대조조각60례，량조균접수상규항정신병약물치료화호리，재차기출상연구조여이인지행위간예，대조조접수상규건강교육급강료활동；우간예전급간예제6주말채용자제적약물인지여복약태도평고표급간명정신병평정량표（ BPRS）래평개환자복약의종성적우렬급질병적강복정황。결과：간예8주후，연구조복약태도、복약의종성명현개선，여대조조비교차이균유통계학의의（P ＜0.01），환자 BPRS 총분급각인자득분교대조조현저강저（P ＜0.01）。결론：대수발정신분렬증환자실시인지행위간예，유조우환자인식자신질병，제고기복약의종성，대개선환자적병정유중요적림상의의，위예방복발、감소주원차수、촉진조일회귀사회전정기출。
Objective:To investigate the effect of cognitive behavior intervention on the rehabilitation and medication compliance of pa-tients with first - episode schizophrenia. Methods:120 patients with first - episode schizophrenia were randomly divided into the study group and the control group(60 cases in each group). The patients in both groups received the conventional treatment with antipsychotic drugs and nursing care,in addition the patients in the study group were given cognitive behavior intervention and the patients in the control group only received routine health education and rehabilitation activities. The self - designed evaluation form of patient's cognition and atti-tude towards medication and the Brief Psychiatric Rating Scale(BPRS)were used to evaluate the patient's rehabilitation and the medica-tion compliance before the intervention and at the end of 6th week after the intervention. Results:After 8 weeks of treatment,the medication compliance and attitude towards medication of the patients obviously improved in the study group,compared with the control group(P < 0. 01);the total score of BPRS and the score of each factor was significantly lower in the study group than the control group(P < 0. 01). Conclusion:The implementation of cognitive behavior intervention for patients with first - episode schizophrenia can help them have a better understanding of the disease and improve their medication compliance and conditions,it has the significance in the prevention of recurrence of the disease and reducing the frequency of hospitalization.
