摘要
目的探讨涂鸦填充绘画对男性慢性精神分裂症患者自我效能感及病耻感的干预结果。方法选取2020年4月至2021年3月福建省福州神经精神病防治院收治的65例男性慢性精神分裂症患者,按照随机抽样方法分为绘画组与对照组。绘画组1例、对照组2例因出院而脱落,共62例患者完成整个干预过程。对照组30例,年龄(46.03±4.98)岁,采用精神科常规专科护理方法。绘画组32例,年龄(45.18±5.03)岁,在精神科常规专科护理方法基础上进行涂鸦填充绘画干预。在干预前、干预12周末采用一般自我效能感量表(GSES)和精神疾病患者病耻感量表中文版(SSMI-C)对两组患者的一般自我效能感、病耻感进行评分,并比较分析。采用χ^(2)检验、t检验进行统计分析。结果干预前,绘画组GSES评分为(15.46±2.74)分,对照组为(15.52±2.79)分;干预后,绘画组GSES评分为(17.92±2.42)分,对照组为(16.04±2.25)分。干预前两组比较差异无统计学意义(P>0.05),干预后绘画组GSES评分高于本组干预前及干预后对照组,差异均有统计学意义(均P<0.001)。干预前,绘画组SSMI-C评分为(52.23±7.64)分,对照组为(51.85±6.48)分;干预后,绘画组SSMI-C评分为(41.78±4.86)分,对照组为(50.01±4.13)分。干预后绘画组SSMI-C评分低于本组干预前及干预后对照组,差异均有统计学意义(均P<0.001)。结论涂鸦填充绘画干预能提高精神分裂症患者的自我效能感,增加自信心,稳定情绪,减轻病耻感,能促进患者康复,及早回归社会。
Objective To explore the effect of graffiti filling painting on self-efficacy and stigma of male patients with chronic schizophrenia.Methods From April 2020 to March 2021,65 male patients with chronic schizophrenics admitted to Fuzhou Neuropsychiatric Hospital were selected.The were randomly divided into a painting group and a control group.One case in the painting group and 2 in the control group dropped out of the study because of discharge,and 62 cases completed the whole intervention.The 30 cases in the control group were(46.03±4.98)years old,and received routine psychiatric nursing care.The 32 cases in the painting group were(45.18±5.03)years old,and received graffiti filling painting intervention and routine psychiatric nursing care.The General Self-Efficacy Scale(GSES)and Stigma Scale for Mental Illness(SSMI-C)were used to measure the patients'self-efficacies and stigma in both groups,and the results were compared.χ^(2) and t tests were applied.Results Before the intervention,the score of GSES was(15.46±2.74)in the painting group,and(15.52±2.79)in the control group,with no statistical difference(P>0.05);the score of GSES after the intervention in the painting group was higher than that in the control group[(17.92±2.42)vs.(16.04±2.25)]and that before the intervention,with statistical differences(both P<0.001).Before the intervention,the score of SSMI-C was(52.23±7.64)in the painting group,and(51.85±6.48)in the control group;the score of SSMI-C after the intervention in the painting group was lower than that in the control group[(41.78±4.86)vs.(50.01±4.13)]and that before the intervention,with statistical differences(both P<0.001).Conclusion Graffiti filling painting intervention for patients with schizophrenia can improve their self-efficacy and self-confidence,stabilize their emotions,reduce their stigma,promote their rehabilitation,and make them return to society as soon as possible.
作者
刘小群
官芳萍
郑红秀
张玉川
Liu Xiaoqun;Guan Fangping;Zheng Hongxiu;Zhang Yuchuan(Sixth Department of Psychiatry,Fuzhou Neuropsychiatric Hospital,Fuzhou 350008,China)
出处
《国际医药卫生导报》
2023年第12期1743-1747,共5页
International Medicine and Health Guidance News
