CAJ | 학술논문

目的：探讨心理健康教育对精神病患者家属心理健康状况的影响，为优化该类患者家属的护理服务方案提供理论性指导。方法选取2012年10月~2013年9月惠州市第二人民医院(以下简称“我院”)精神科精神病患者家属152例为对照组，实施常规的护理服务方案；同时选取2013年10月~2014年9月我院精神科精神病患者家属160例为研究组，在实施常规的护理服务方案基础上开展心理健康教育。干预前后分别采用90项症状自评量表(SCL-90)对两组进行测评，比较两组患者家属心理健康状况。结果两组精神病患者家属干预前各项SCL-90评分差异无统计学意义(P>0.05)，研究组干预后躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执和精神病性的SCL-90分数均明显低于对照组，差异有统计学意义(P<0.05)。结论心理健康教育能有效改善精神病患者家属的心理状况，促进其社会功能的回归，为患者提供更为优质的家庭护理服务，有助于患者的早日康复。
목적：탐토심리건강교육대정신병환자가속심리건강상황적영향，위우화해류환자가속적호리복무방안제공이론성지도。방법선취2012년10월~2013년9월혜주시제이인민의원(이하간칭“아원”)정신과정신병환자가속152례위대조조，실시상규적호리복무방안；동시선취2013년10월~2014년9월아원정신과정신병환자가속160례위연구조，재실시상규적호리복무방안기출상개전심리건강교육。간예전후분별채용90항증상자평량표(SCL-90)대량조진행측평，비교량조환자가속심리건강상황。결과량조정신병환자가속간예전각항SCL-90평분차이무통계학의의(P>0.05)，연구조간예후구체화、강박증상、인제관계민감、억욱、초필、활대、공포、편집화정신병성적SCL-90분수균명현저우대조조，차이유통계학의의(P<0.05)。결론심리건강교육능유효개선정신병환자가속적심리상황，촉진기사회공능적회귀，위환자제공경위우질적가정호리복무，유조우환자적조일강복。
Objective To explore the effect of psychological health education on psychological health status of psychot-ic relatives and provide optimizing theoretical guidance of nursing service for psychotic relatives. Methods From Octo-ber 2012 to September 2013, 152 relatives of psychopath in the Second People's Hospital of Huizhou City (“our hospi-tal” for short) were selected as control group, who were given the normal nursing; while 160 relatives of psychopath from October 2013 to September 2014 in our hospital were selected as research group, who were treated with psycho-logical health education on the basis of normal nursing. The self-evaluating table of SCL-90 was used in the two groups, and psychological health status of the two groups were compared before and after intervention. Results Before intervention, SCL-90 score in the two groups had no statistically significant difference (P > 0.05); after intervention, SCL-90 score of somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, horror, paranoid and other psychosis in research group were obviously lower than those of the control group, the differences were statistically significant (P<0.05). Conclusion Psychological health education can not only effectively improve the psy-chological status of relatives, but also return their social functions, and provide better home nursing service for the psy-chopath, it is helpfull for patients' recover.