摘要
目的探讨心理行为干预方法对降低精神分裂症暴力行为的影响。方法将2007年1-12月住院的精神分裂症患者120例随机分为行为干预组（A组）、心理支持组（B组）、健康教育组（C组）和对照组（D组）各30例。A组对患者实施常规护理力U行为干预，B组对患者实施常规护理加心理支持，C组对患者实施常规护理加健康教育，D组对患者实施常规护理。运用修订版外显攻击行为量表（MOAS）对干预效果进行评定，并统计暴力行为再次发生率。结果A、B、C、D组干预后MOAS评分均显著低于干预前；A、B、C组干预后MOAS下降值显著高于D组，且MOAS下降分值以A组最高，其次是B组和C组；A、B、C组干预后暴力行为再次发生率显著低于D组。结论常规护理、健康教育、心理支持及行为干预措施均能降低和减少暴力行为的发生，其中，以行为干预的方法最为有效，其次是心理支持和健康教育。
Objective To discuss the psychological behavior intervention methods on reducing the violence behavior of schizophrenia patients. Methods 120 schizophrenia patients were admitted from January to December, 2007 and randomly assigned into the behavior intervention group （group A）, the psychological support group （group B）, the health education group （group C） and the control group （group D） with 30 cases in each group. Group A received routine nursing plus behavior intervention, group B was given routine nursing plus psychological support, group C adopted routine nursing plus health education, group D only received routine nursing. The intervention effect was evaluated with MOAS and the relapse rate of violence behavior went through statistics. Results After intervention, the scores of MOAS decreased significantly in group A, B, C and D compared with those before intervention. The reduction of MOAS scores in group A, B and C was significantly higher than that of group D, with the highest reduction score in group A and group B and C followed subsequently. The relapse rates of the violence behavior in group A, B and C were significantly lower than those of group D. Conclusions Routine nursing, health education, psycho- logical support and behavior intervention can all reduce and decrease the violence behavior and the incidence of the violence behavior, among which behavior intervention proves to be the most effective, and psychological support and health education go subsequently.
出处
《中国实用护理杂志》
北大核心
2009年第7期1-3,共3页
Chinese Journal of Practical Nursing
基金
南京市医学科技发展资助项目（ZKM06058）
关键词
精神分裂症
暴力行为
行为干预
心理支持
健康教育
Schizophrenia
Violence behavior
Behavior intervention
Psychological support
Health education
