[1]王瑶琪,王云凯.叙事护理联合正念减压疗法对精神分裂症患者冲动行为的影响[J].医学信息,2025,38(07):161-165.[doi:10.3969/j.issn.1006-1959.2025.07.033]
　WANG Yaoqi,WANG Yunkai.Effect of Narrative Nursing Combined with Mindfulness Decompression Therapy on Impulsive Behavior in Patients with Schizophrenia[J].Journal of Medical Information,2025,38(07):161-165.[doi:10.3969/j.issn.1006-1959.2025.07.033]
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叙事护理联合正念减压疗法对精神分裂症患者冲动行为的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年07期
页码:
161-165
栏目:
护理研究
出版日期:
2025-04-01

文章信息/Info

Title:
Effect of Narrative Nursing Combined with Mindfulness Decompression Therapy on Impulsive Behavior in Patients with Schizophrenia
文章编号:
1006-1959（2025）07-0161-05
作者:
王瑶琪1; 王云凯2
吉安市第三人民医院老年科一病区1，精神科一病区2，江西 吉安 343000
Author(s):
WANG Yaoqi1;  WANG Yunkai2
The First Ward of Geriatrics Department1, the First Ward of Psychiatry Department2, the Third People’s Hospital of Ji’an, Ji’an 343000, Jiangxi, China
关键词:
精神分裂症; 叙事护理; 正念减压疗法; 冲动行为
Keywords:
Schizophrenia;  Narrative nursing;  Mindfulness decompression therapy;  Impulsive behavior
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2025.07.033
文献标志码:
A
摘要:
目的 探讨精神分裂症患者采用叙事护理联合正念减压疗法对冲动行为的影响。方法 选取本院2022年1月-2023年6月收治的精神分裂患者62例，所有精神分裂患者均处于稳定期。采用随机数字表法将其分为对照组和研究组，每组31例。对照组采用叙事护理干预，研究组在对照组基础上施加正念减压疗法。两组护理满意度、生活质量、不良情绪变化情况（SDS、SAS）及冲动行为[外显冲动行为量表（MOAS）]。结果 与对照组护理满意率的74.19%比较，研究组护理满意率更高，达96.77%（P＜0.05）；与对照组比较，研究组护理后社会、情感、躯体、生理评分升高，SDS、SAS评分降低，且护理后1、2、4、8周MOAS评分降低（P＜0.05）。结论 采用叙事护理联合正念减压疗法可提高精神分裂患者护理满意率及生活质量，减轻患者不良情绪以及冲动行为，值得临床应用。
Abstract:
Objective To explore the effect of narrative nursing combined with mindfulness decompression therapy on impulsive behavior in patients with schizophrenia. Methods Totally 62 patients with schizophrenia admitted to our hospital from January 2022 to June 2023 were selected. All patients with schizophrenia were in stable phase. They were divided into control group and study group by random number table method, with 31 patients in each group. The control group was treated with narrative nursing intervention, and the study group was treated with mindfulness decompression therapy on the basis of the control group. The nursing satisfaction, quality of life, adverse emotions (SDS, SAS) and impulsive behavior [elucidated the modes of actions (MOAS)] were compared between the two groups. Results Compared with 74.19% of the control group, the nursing satisfaction rate of the study group was higher, reaching 96.77% (P<0.05). Compared with the control group, the society, emotional, physical and physiological scores of the study group increased, the SDS and SAS scores decreased, and the MOAS scores decreased at 1, 2, 4 and 8 weeks after nursing (P<0.05). Conclusion Narrative nursing combined with mindfulness decompression therapy can improve the nursing intervention effect and quality of life of patients, reduce patients’ adverse emotions and impulsive behavior, and is recommended for clinical application.

参考文献/References:

[1]Gebreegziabhere Y,Habatmu K,Mihretu A,et al.Cognitive impairment in people with schizophrenia: an umbrella review[J].Eur Arch Psychiatry Clin Neurosci,2022,272(7):1139-1155.[2]李明芳,蒋时笑,徐璐,等.半结构化叙事访谈在难治性精神分裂症病人无抽搐电休克治疗中的应用[J].全科护理,2023,21(20):2799-2802.[3]Isaacs AN,Brooks H,Lawn S,et al.Effectiveness of personal recovery facilitators in adults with schizophrenia and other psychoses: A systematic review of reviews and narrative synthesis[J].Schizophr Res,2022,246:132-147.[4]王丽萍,高慧珍.叙事护理对精神分裂症患者康复的促进作用[J].中国卫生标准管理,2022,13(4):168-172.[5]Gao L,Xie J,Huang T,et al.Effects of mindfulness decompression therapy combined with transcranial magnetic stimulation in generalized anxiety disorder[J].Am J Transl Res,2021,13(6):6827-6836.[6]中华医学会精神医学分会精神分裂症协作组.精神分裂症患者代谢综合征管理的中国专家共识[J].中华精神科杂志,2020,53(1):3-10.[7]磨丽莉,陈静,周芳珍.综合护理干预对慢性精神分裂症患者治疗依从性和生命质量的影响[J].内科,2016,11(2):326-328.[8]齐晓燕,方喜玲,王静.纽曼系统护理模式对精神分裂症患者不良情绪和生活质量的影响[J].检验医学与临床,2019,16(22):3345-3347.[9]杜伟,杨洁.行为认知和放松疗法对精神分裂症患者暴力冲动行为的影响[J].基层医学论坛,2023,27(18):40-42.[10]Richetto J,Meyer U.Epigenetic Modifications in Schizophrenia and Related Disorders: Molecular Scars of Environmental Exposures and Source of Phenotypic Variability[J].Biol Psychiatry,2021,89(3):215-226.[11]刘仲梅,朱永梅,杨燕文.个性化叙事护理对精神分裂症患者心理状态、精神症状及自尊心的影响[J].齐鲁护理杂志,2020,26(7):93-95.[12]苏海泉,钟桂媚.正念减压疗法联合常规护理对精神分裂症患者的影响[J].中外医学研究,2023,21(10):95-98[13]朱明蓉,罗丹.正念减压疗法对住院男性精神分裂症患者控烟效果的研究[J].护理学杂志,2018,33(23):74-76.[14]朱政仁,胡珠,罗爱玲,等.正念减压法对抑郁症患者负性情绪的影响[J].护理实践与研究,2016,13(7):135-136,137.[15]王伏兰,李凌飞.探究正念减压训练对缓解期精神分裂症患者心理弹性干预的可行性和效果分析[J].国际护理学杂志,2022,41(11):2037-2041.[16]李保芹,谭一冰.正念减压联合团体健康教育在青少年精神分裂症患者中的应用[J].国际护理学杂志,2022,41(20):3695-3698.[17]黄雅玲.正念减压联合运动疗法对慢性精神分裂症患者心理弹性和自我管理能力的影响[J].中外医学研究,2022,20(8):160-163.[18]谢小丽.时效激励理论联合正念减压疗法对精神分裂症患者自我效能、病耻感的影响[J].现代诊断与治疗,2022,33(19):2973-2976.[19]李周云,黄燕,聂爱珍,等.正念减压联合团体绘画对稳定期精神分裂症的护理效果分析[J].基层医学论坛,2021,25(33):4755-4757.[20]杨丽娟,蒋红.正念减压疗法对精神分裂症稳定期患者应对方式及生活质量的影响[J].山西医药杂志,2021,50(20):2952-2954..

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更新日期/Last Update: 1900-01-01