摘要
目的探讨多元化睡眠护理联合支持性-表达性团体心理干预对精神分裂症患者的影响,为进一步优化临床护理提供理论依据。方法采用随机数字表法将2020年6月—2023年6月绍兴市第七人民医院心身障碍科收治的90例精神分裂症患者分为对照组和观察组,各45例,对照组给予常规护理,观察组在此基础上给予多元化睡眠护理联合支持性-表达性团体心理干预。比较2组护理前后的睡眠质量、情绪状态[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、心理弹性[心理弹性量表(CD-RISC)]及应对方式[简易应对方式问卷(SCSQ)]。结果观察组护理后睡眠效率[(83.23±5.22)%]高于对照组[(78.25±6.34)%],总睡眠时间[(399.45±20.34)min]及快速眼球运动睡眠潜伏期时间[(129.23±15.23)min]长于对照组[(369.90±35.21)min、(108.45±13.42)min],觉醒时间[(38.90±6.78)min]短于对照组[(45.77±5.09)min,t=4.068、5.090、6.867、6.737,P<0.05];HAMA和HAMD评分均明显低于对照组(P<0.05);CD-RISC各维度评分及总分均高于对照组(P<0.05);SCSQ中积极应对评分高于对照组(P<0.05),消极应对评分低于对照组(P<0.05)。结论多元化睡眠护理联合支持性-表达性团体心理干预可有效提升精神分裂症患者睡眠质量,减轻负性情绪,提高心理弹性水平,改善疾病应对方式。
Objective To explore the effects of diversified sleep care combined with supportive and expressive group psychological intervention on patients with schizophrenia,in order to provide theoretical basis for further optimization of clinical care.Methods A total of 90 patients with schizophrenia admitted to Psychosomatic Disorder Department of the Seventh People's Hospital of Shaoxing City from June 2020 to June 2023 were randomly divided into control group and observation group using a random number table method,45 cases in each group.The control group was given routine nursing,and the observation group was given diversified sleep nursing combined with supportive and expressive group psychological intervention on this basis.The sleep quality,emotional state[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)],mental resilience[Connor-Davidson resilience scale(CD-RISC)]and coping style[simplified coping style questionnaire(SCSQ)]of the two groups were compared before and after care.Results The sleep efficiency of the observation group[(83.23±5.22)%]was higher than that of the control group[(78.25±6.34)%];Total sleep time[(399.45±20.34)min]and rapid eye movement sleep latency time[(129.23±15.23)min]were longer than those of control group[(369.90±35.21)min and(108.45±13.42)min];The awakening time[(38.90±6.78)min]was shorter than that of control group[(45.77±5.09)min,t=4.068,5.090,6.867,6.737,P<0.05].The HAMA and HAMD scores were significantly lower than those of control group(P<0.05).The score and total score of CD-RISC were higher than those of control group(P<0.05).The positive coping score in SCSQ was higher than that in control group(P<0.05),and the negative coping score was lower than that in control group(P<0.05).Conclusion Diversified sleep care combined with supportive and expressive group psychological intervention can effectively improve the sleep quality and reduce negative emotions,improve the level of mental resilience and improve the coping style of schizophrenia patients.
作者
陶科伟
付康
戴慧敏
沈珂妍
TAO Kewei;FU Kang;DAI Huimin;SHEN Keyan(Psychosomatic Department(Sleep Ward),the Seventh People's Hospital of Shaoxing,Shaoxing,Zhejiang 312000,China;不详)
出处
《中华全科医学》
2024年第2期344-348,共5页
Chinese Journal of General Practice
基金
浙江省中医药科技计划项目(2022ZA176)。
