井冈山大学学报（自然科学版）
井岡山大學學報（自然科學版）
정강산대학학보（자연과학판）
JOURNAL OF JINGGANGSHAN UNIVERSITY(SCIENCE AND TECHNOLOGY)
2015年
3期
103-106
,共4页
精神分裂症%护理干预%病耻感%生活质量
精神分裂癥%護理榦預%病恥感%生活質量
정신분렬증%호리간예%병치감%생활질량
schizophrenia%nursing intervention%stigma%life quality
目的：通过对住院精神分裂症的患者在治疗和康复的过程中进行心理护理干预，探讨对改善患者病耻感的影响。方法将80例住院精神分裂症的患者随机分为对照组和观察组，各40例，对照组患者进行精神科常规护理，观察组在常规护理的基础上给予系统的健康教育和心理护理，采用精神疾病病耻感量表与干预前，干预3月末采用世界卫生组织生活质量评定量表（WHOQOL-100）评定两组患者的病耻感和生活质量。结果观察组干预3个月末精神疾病病耻感量表的总分及各纬度评分均低于治疗前（P <0.05或P <0.01）。对照组在干预后仅在歧视、病情掩饰的评分低于治疗前（P <0.05）。观察组与对照组比较，在干预3个月末的总分和歧视、病情掩饰、积极效应3个维度分均显著减低（P <0.05或P <0.01）。在干预3个月末，WHOQOL-100评分如下：观察组独立性、社会关系心理状态及生理领域评分显著高于对照组，差异有统计学意义(P <0.05或P <0.01)。结论运用综合心理护理干预方案可以有效降低患者的病耻感，提高治疗和康复效果，有利于患者回归社会，改善其生活质量。
目的：通過對住院精神分裂癥的患者在治療和康複的過程中進行心理護理榦預，探討對改善患者病恥感的影響。方法將80例住院精神分裂癥的患者隨機分為對照組和觀察組，各40例，對照組患者進行精神科常規護理，觀察組在常規護理的基礎上給予繫統的健康教育和心理護理，採用精神疾病病恥感量錶與榦預前，榦預3月末採用世界衛生組織生活質量評定量錶（WHOQOL-100）評定兩組患者的病恥感和生活質量。結果觀察組榦預3箇月末精神疾病病恥感量錶的總分及各緯度評分均低于治療前（P <0.05或P <0.01）。對照組在榦預後僅在歧視、病情掩飾的評分低于治療前（P <0.05）。觀察組與對照組比較，在榦預3箇月末的總分和歧視、病情掩飾、積極效應3箇維度分均顯著減低（P <0.05或P <0.01）。在榦預3箇月末，WHOQOL-100評分如下：觀察組獨立性、社會關繫心理狀態及生理領域評分顯著高于對照組，差異有統計學意義(P <0.05或P <0.01)。結論運用綜閤心理護理榦預方案可以有效降低患者的病恥感，提高治療和康複效果，有利于患者迴歸社會，改善其生活質量。
목적：통과대주원정신분렬증적환자재치료화강복적과정중진행심리호리간예，탐토대개선환자병치감적영향。방법장80례주원정신분렬증적환자수궤분위대조조화관찰조，각40례，대조조환자진행정신과상규호리，관찰조재상규호리적기출상급여계통적건강교육화심리호리，채용정신질병병치감량표여간예전，간예3월말채용세계위생조직생활질량평정량표（WHOQOL-100）평정량조환자적병치감화생활질량。결과관찰조간예3개월말정신질병병치감량표적총분급각위도평분균저우치료전（P <0.05혹P <0.01）。대조조재간예후부재기시、병정엄식적평분저우치료전（P <0.05）。관찰조여대조조비교，재간예3개월말적총분화기시、병정엄식、적겁효응3개유도분균현저감저（P <0.05혹P <0.01）。재간예3개월말，WHOQOL-100평분여하：관찰조독립성、사회관계심리상태급생리영역평분현저고우대조조，차이유통계학의의(P <0.05혹P <0.01)。결론운용종합심리호리간예방안가이유효강저환자적병치감，제고치료화강복효과，유리우환자회귀사회，개선기생활질량。
AbstractObjective: To explore the effect of psychological nursing intervention on the improvement of schizophrenia and the quality of life in patients with the disease.Methods: 80 patients with schizophrenia were randomly divided into two groups as control group and observation group, each of 40 cases. The patients of control group were done with psychiatric nursing routine nursing, the patients of observation group were given with health education and psychological nursing system on the basis of routine nursing. The mental illness stigma scale and the quality of life of two groups before intervention, the intervention at the end of 3 months using WHO quality of life scale (WHOQOL-100) were evaluated by the level of stigma.Results: The mental illness stigma scale score and the score of each dimension of observation group after intervention for 3 months were obviously lower than those before therapy (P < 0.05 orP < 0.01). In the control group after intervention, only in the discrimination condition hide score was lower than that before treatment (P < 0.05). Totalscore and discrimination, hide, the positive effects of 3 dimensions of observation group during the intervention at the end of the 3 month in comparison with the control group decreased significantly (P < 0.05 orP< 0.01). In the intervention group at the end of the 3 month, score of social relations, independence, psychological and physiological field observation were significantly higher than those in the control group, the differences were statistically significant (P < 0.05 orP < 0.01).Conclusion: Comprehensive psychological intervention can effectively improve the schizophrenia instigma of patients, be benefit for returning to the society better, improve the life quality.
