摘要
目的探讨同伴支持在社区精神分裂症患者中的应用效果。方法选取新乡市在社区管理的纳入国家严重精神障碍信息系统的精神分裂症患者100例,随机分为试验组(50例)和对照组(50例)。试验组在对照组护理措施的基础上接受为期6个月的同伴支持,对照组接受常规药物治疗和定期访视。在干预前、干预后采用简明精神病量表、自知力与治疗态度问卷、康复状态量表对两组进行测评,评估干预效果。结果试验组49例、对照组47例完成研究。干预后,试验组简明精神病量表、康复状态量表得分低于对照组,自知力与治疗态度问卷得分高于对照组,差异具有统计学意义(均P<0.001)。结论同伴支持可以改善社区精神分裂症患者的临床症状,改善患者对疾病的认知和对治疗的态度,促进其社会功能的恢复。
Objective To explore the effects of application of peer support rehabilitation model in community mental health services to patients with schizophrenia.Methods A hundred community patients with schizophrenia selected from the National Severe Mental Disorders Information Systems in Xinxiang city were randomly assigned to the experimental group(n=50)and the control group(n=50).The experimental group received 6-month peer support services and routine drug treatment and regular visits,whereas the control group received routine drug treatment and regular visits.Patients were evaluated using the Brief Psychiatric Rating Scale,the Insight and Treatment Attitude Questionnaire and the Morningside Rehabilitation Status Scale before and after intervention.Results Forty-nine patients in the experimental group and 47 in the control group completed the study.After intervention,the scores of BPRS and MRSS in the experimental group were significantly lower than those in the control group,and the scores of ITAQ were significantly higher than those in the control group,and the differences were significant(all P<0.001).Conclusion Peer support can improve clinical symptoms of community patients with schizophrenia,boost patients'cognition to disease and attitude to treatment,promote the recovery of social functions.
作者
严芳
姚丰菊
李拴荣
张艳萍
王素红
王晶花
张朝辉
Yan Fang;Yao Feng-ju;Li Shuan-rong;Zhang Yan-ping;Wang Su-hong;Wang Jing-hua;Zhang Chao-hui
出处
《中华护理杂志》
CSCD
北大核心
2019年第10期1545-1550,共6页
Chinese Journal of Nursing
基金
中华护理学会立项科研课题（ZHKY201802）
关键词
精神分裂症
同伴支持
社区精神卫生服务
康复护理
Schizophrenia
Peer Support
Community Mental Health Services
Rehabilitation Nursing
