[1]邬 婧,夏侯迎芳.认知心理护理联合功能操训练对精神分裂症患者阳性与阴性症状的影响[J].医学信息,2024,37(13):161-164.[doi:10.3969/j.issn.1006-1959.2024.13.035]
　Effect of Cognitive Psychological Nursing Combined with Functional Exercise Training on Positive and Negative Symptoms in Patients with Schizophrenia.Effect of Cognitive Psychological Nursing Combined with Functional Exercise Training on Positive and Negative Symptoms in Patients with Schizophrenia[J].Journal of Medical Information,2024,37(13):161-164.[doi:10.3969/j.issn.1006-1959.2024.13.035]
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认知心理护理联合功能操训练对精神分裂症患者阳性与阴性症状的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年13期
页码:
161-164
栏目:
护理研究
出版日期:
2024-07-01

文章信息/Info

Title:
Effect of Cognitive Psychological Nursing Combined with Functional Exercise Training on Positive and Negative Symptoms in Patients with Schizophrenia
文章编号:
1006-1959（2024）13-0161-04
作者:
邬 婧; 夏侯迎芳
（江西康宁医院精神科，江西 南昌 330103）
Author(s):
Effect of Cognitive Psychological Nursing Combined with Functional Exercise Training on Positive and Negative Symptoms in Patients with Schizophrenia
(Department of Psychiatry,Jiangxi Kangning Hospital,Nanchang 330103,Jiangxi,China)
关键词:
认知心理护理; 功能操训练; 精神分裂症; 阳性与阴性症状
Keywords:
Cognitive psychological nursing; Functional exercise training; Schizophrenia; Positive and negative symptoms
分类号:
R749.3
DOI:
10.3969/j.issn.1006-1959.2024.13.035
文献标志码:
A
摘要:
目的 研究认知心理护理联合功能操训练对精神分裂症患者阳性与阴性症状的影响。方法 选取2019年1月-2022年7月在我院诊治的70例精神分裂症患者为研究对象，采用随机数字表法分为对照组和观察组，各组35例。对照组采用常规护理，观察组在对照组基础上给予认知心理护理联合功能操训练，比较两组阳性症状评分、阴性症状评分、社会功能（SSPI）评分、认知水平（MoCA）、精神状态（NOSIE）评分、生活质量（SQLS）评分，以及护理满意度。结果 两组干预后阳性症状评分、阴性症状评分均低于干预前，且观察组低于对照组（P＜0.05）；两组干预后社会功能各维度（社会技能、动性和交往、日常生活能力）评分均高于干预前，且观察组高于对照组（P＜0.05）；两组干预后MoCA评分均高于干预前，NOSIE评分均低于干预前，且观察组MoCA评分高于对照组，NOSIE评分低于对照组（P＜0.05）；两组干预后SQLS生活质量量表各维度（症状、动机、心理社会）评分均低于干预前，且观察组低于对照组（P＜0.05）；观察组护理满意度为94.29%，高于对照组的80.00%（P＜0.05）。结论 认知心理护理联合功能操训练可显著降低精神分裂症患者阳性和阴性症状评分，改善患者生活质量水平和精神转来，提高患者社会功能、认知水平以及护理满意度，具有确切的护理效果，值得临床应用。
Abstract:
Objective To study the effect of cognitive psychological nursing combined with functional exercise training on positive and negative symptoms in patients with schizophrenia.Methods A total of 70 patients with schizophrenia diagnosed and treated in our hospital from January 2019 to July 2022 were selected as the research objects. They were divided into control group and observation group by random number table method, with 35 patients in each group. The control group was given routine nursing, and the observation group was given cognitive psychological nursing combined with functional exercise training on the basis of the control group. The positive symptom score, negative symptom score, social function (SSPI) score, cognitive level (MoCA), mental state (NOSIE) score, quality of life (SQLS) score, and nursing satisfaction were compared between the two groups.Results The positive symptom scores and negative symptom scores of the two groups after intervention were lower than those before intervention, and the observation group was lower than the control group (P<0.05). The scores of social function (social skills, mobility and communication, daily living ability) in the two groups after intervention were higher than those before intervention, and the scores in the observation group were higher than those in the control group (P<0.05). After intervention, the MoCA score of the two groups was higher than that before intervention, and the NOSIE score was lower than that before intervention, and the MoCA score of the observation group was higher than that of the control group, and the NOSIE score was lower than that of the control group (P<0.05). After intervention, the scores of each dimension (symptoms, motivation, psychosocial) of SQLS quality of life scale in the two groups were lower than those before intervention, and those in the observation group were lower than those in the control group (P<0.05). The nursing satisfaction of the observation group was 94.29%, which was higher than 80.00% of the control group(P<0.05).Conclusion Cognitive psychological nursing combined with functional exercise training can significantly reduce the positive and negative symptom scores of patients with schizophrenia, improve the quality of life and mental transfer, and improve the social function, cognitive level and nursing satisfaction of patients. It has definite nursing effect and is worthy of clinical application.

参考文献/References:

[1]刘思思,刘晶.首发精神分裂症患者不同疾病归因与首次就诊时间、治疗依从性的关系[J].神经疾病与精神卫生,2017,17(5):351-354.[2]王丹,王传升.不同药物对精神分裂症的疗效及对甲状腺素水平的影响[J].西南国防医药,2017,27(5):445-448.[3]郭建兵,马文有,张英杰,等.精神康复训练对精神分裂症生活质量和生活满意度的影响[J].河北医科大学学报,2018,37(8):900-902.[4]刘寰.人性化护理管理对恢复期精神分裂症患者的影响研究[J].中国药物与临床,2017,17(1):149-150.[5]闵海瑛,顾静莲,王玲,等.系统认知心理护理在住院精神分裂症患者中的临床应用[J].中国临床研究,2016,29(10):1423-1425.[6]徐华,张燕红,王兆芹,等.日记式心理教育在1例反复多次住院精神分裂症患者中的应用[J].中华护理杂志,2018,53(3):379-382.[7]欧九娣,张程赪.认知护理干预合并集体生物反馈治疗恢复期分裂症顽固性幻听对照研究[J].包头医学院学报,2018,34(3):90-92.[8]陈海萍,章秋萍,张丽娜,等.计算机认知矫正治疗对慢性精神分裂症患者认知功能及社会功能水平的影响[J].护理与康复,2018,17(2):78-80.[9]张景彦,齐红梅,朱新桥,等.综合护理对衰退期精神分裂症社会功能的康复效果[J].中国健康心理学杂志,2013,21(10):1481-1482.[10]曹燕.团体教育对首发精神分裂症患者一级亲属病耻感感知的影响[J].中国护理管理,2018,18(2):157-160.[11]彭兴,马辛,任艳萍,等.精神分裂症患者语义距离与认知功能的相关性研究[J].中华行为医学与脑科学杂志,2020,29(9):797-801.[12]华燕,吴叶.认知心理护理对老年精神分裂症患者GAS与PANSS评分的影响[J].检验医学与临床,2020,17(11):151-153.[13]黄海晓,林飞飞,丁万涛,等.情景模拟训练对长期住院慢性精神分裂症患者社会功能康复的干预效果评价[J].中国预防医学杂志,2020,21(9):1034-1038.[14]陆红英,袁勤,陶丽,等.支持性心理干预对社区精神分裂症病人病耻感的影响[J].护理研究,2017,31(15):1831-1834.[15]李丹.优质护理服务对精神科住院患者影响研究[J].黑龙江科学,2020,11(14):62-63.[16]朱春燕,孙继军,江长旺,等.首发康复期精神分裂症患者心理防御机制﹑社会支持和家庭功能特征的研究[J].中华全科医学,2016,14(11):1906-1909.[17]钟慧,汪凯,朱春燕,等.集体心理治疗改善早发性精神分裂症患者心理推理能力损伤的效果[J].中国心理卫生杂志,2017,31(4):263-267.[18]屠一敏,李霞,曹新妹,等.家属同步教育对精神分裂症患者治疗依从性的影响[J].上海护理,2018,18(4):19-23.[19]罗思欢,孙丽娜,邱玛丽,等.团体心理干预对精神分裂症患者康复状况及社会功能的影响[J].国际护理学杂志,2017,36(5):644-646.

更新日期/Last Update: 1900-01-01