行为矫正干预对流浪精神分裂症患者生活自理能力的影响

目的探讨行为矫正干预对流浪精神分裂症患者生活自理能力的影响。方法52例流浪精神分裂症患者随机分为两组，对照组26例接受常规治疗及护理，干预组26例在常规治疗与护理的同时给予行为矫正。分别于干预前及干预后8周用护士住院患者观察量表（NOSIE）进行影响效果评定。结果干预前2组患者NOSIE评分差异无统计学意义（P〉0．05）。干预8周后，干预组患者NOSIE评分社会能力（35．10±3．89）分、社会兴趣（28．87±3．08）分、个人整洁（28．15±2．41）分，均高于对照组（20．34±2．38）分，（19．98±2．54）分，（21．43±2．42）分，比较差异有统计学意义（t分别为17．56，12．03，9．01，P〈0．01）；迟缓（6．78±2．11）分、抑郁（5．23±1．38）分，均低于对照组（11．59±2．65）分，（11．79±2．65）分，两组比较差异有统计学意义（t分别为7．61，11．2，P〈O．01）；激惹比较差异无统计学意义（P〉0．05）。结论行为矫正干预有助于提高流浪精神分裂症患者的生活自理能力，可缓解护理人员的部分工作压力。

Effects of behavior modification intervention on the self-care abilities of homeless patients with schizophrenia

Objective To evaluate the effect of behavior modification intervention on the self-care abilities of homeless patients with schizophrenia. Methods Totals of 52 homeless patients with schizophrenia were randomly divided into intervention group and control group with 26 cases in each group. The control group received traditional treatment and care, while intervention group received behavior modification combined, with routine treatment and care. The nurses scale （ NOSIE ） was used to assess the effectiveness of treatment before the intervention and eight weeks after the intervention. Results There was no difference in NOSIE score in patients before intervention （P 〉 0. 05）. Eight weeks after intervention, NOSIE scores of social competence （35.10 ± 3.89） ,social interest（ 28.87 ± 3.08 ）and personal cleanliness （28.15±2.41 ）in intervention group were higher than （20.34 ± 2.38）, （ 19.98 ± 2.54）, （ 21.43 ±2.42 ） control group, and the difference was statistically significant（ t = 17.56,12.03,9.01, respectively ; P 〈 0. 01 ）. Retardation score was （ 6.78± 2.11 ） and depression score was （5.23 ± 1.38 ） significantly lower than （ 11.59 ± 2.65 ）, （ 11.79± 2.65 ） in control group（ t = 7.61,11.2, respectively; P 〈 0. 01 ）. The difference of irritation in two groups was not statistically significant（ P 〉 0. 05）. Conclusions Behavior modification intervention can improve self-care abilities of homeless patients with schizophrenia and can relieve working pressure of nurses in some extent.