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自我角色认同护理干预对康复期女性精神分裂症患者病耻感及意念功能的影响
作者:金燕  顾爱芳  黄漪汶  周瑛  赵英  吕钦谕 
单位:上海交通大学医学院附属精神卫生中心 临床八科, 上海 201108
关键词:自我角色认同 精神分裂症 病耻感 意念功能 
分类号:R749.3
出版年·卷·期(页码):2018·46·第十期(1192-1195)
摘要:

目的:探讨自我角色认同护理干预对康复期女性精神分裂症患者病耻感及意念功能的影响。方法:选取康复期女性精神分裂症住院患者120例,随机分为实施精神科常规护理的对照组与实施自我角色认同护理干预的实验组各60例。干预12周后比较两组患者病耻感和意念功能。结果:(1)干预后两组患者病耻感得分均低于干预前(P<0.05),实验组低于对照组(P<0.001);(2)干预后对照组总应答数(Ra)得分较干预前差异有统计学意义(P<0.05);实验组持续性错误数(Rpe)、完成分类数(Cc)、总应答数(Ra)较干预前差异有统计学意义(P<0.05),较对照组Cc和Ra升高、Rpe降低(P<0.05)。结论:自我角色认同护理干预可降低康复期女性精神分裂症患者病耻感,改善患者意念功能。

Objective:To study the effect of self role identity intervention on the stigma and notional function of female schizophrenic patients during their mental rehabilitation period. Methods:One hundred and twenty schizophrenic inpatients were randomly divided into control group (n=60) and experimental group (n=60). The control group was treated with routine psychiatric nursing, while the experimental group was nursed with self role identity intervention for 12 weeks. The stigma and notional function of the patients were compared between the two groups. Results: (1) After the intervention, the scores of the stigma in both groups were lower than those before the intervention (P<0.05), but the scores in the experimental group were lower than those in the control group (P<0.001). (2) Compared with those before the intervention, the scores of Ra in the control group were statistically different after routine nursing intervention (P<0.05). There were statistical differences in Rpe, Cc and Ra after self role identity intervention in the experimental group (P<0.05).Compared with the control group, the scores of Cc and Ra were more significantly increased and those of Rpe were lower in the experimental group (P<0.05). Conclusion:Self-identity nursing intervention can reduce the stigma and improve the notional function of female schizophrenic patients during their mental rehabilitation period.

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