精神分裂症暴力行为的心理行为干预方法研究

目的 探讨心理行为干预方法对降低精神分裂症暴力行为的影响.方法 将2007年1-12月住院的精神分裂症患者120例随机分为行为干预组(A组)、心理支持组(B组)、健康教育组(C组)和对照组(D组)各30例.A组对患者实施常规护理加行为干预,B组对患者实施常规护理加心理支持,C组对患者实施常规护理加健康教育,D组对患者实施常规护理.运用修订版外显攻击行为量表(MOAS)对干预效果进行评定,并统计暴力行为再次发生率.结果 A、B、C、D组干预后MOAS评分均显著低于干预前;A、B、C组干预后MOAS下降值显著高于D组,且MOAS下降分值以A组最高,其次是B组和C组;A、B、C组干预后暴力行为再次发生率显著低于D组.结论 常规护理、健康教育、心理支持及行为干预措施均能降低和减少暴力行为的发生,其中,以行为干预的方法最为有效,其次是心理支持和健康教育.

Study of psychological behavior intervention methods on the violence behavior of schizophrenia patients

Objective To discuss the psychological behavior intervention methods on reducing the violence behavior of schizophrenia patients. Methods 120 schizophrenia patients were admitted from January to December, 2007 and randomly assigned into the behavior intervention group (group A), the psy-chological support group (group B), the health education group (group C) and the control group (group D) with 30 cases in each group. Group A received routine nursing plus behavior intervention, group B was giv-en routine nursing plus psychological support, group C adopted routine nursing plus health education, group D only received routine nursing. The intervention effect was evaluated with MOAS and the relapse rate of violence behavior went through statistics. Results After intervention, the scores of MOAS decreased sig-nificantly in group A, B, C and D compared with those before intervention. The reduction of MOAS scores in group A, B and C was significantly higher than that of group D, with the highest reduction score in group A and group B and C followed subsequently. The relapse rates of the violence behavior in group A, B and C were significantly lower than those of group D. Conclusions Routine nursing, health education, psycho-logical support and behavior intervention can all reduce and decrease the violence behavior and the inci-dence of the violence behavior, among which behavior intervention proves to be the most effective, and psy-chological support and health education go subsequently.