积极心理学理论指导下的护理干预用于精神分裂症患者的价值

目的 分析积极心理学理论指导下的护理干预用于精神分裂症患者的价值.方法 选取2013年12月至2014年12月间本院的精神分裂症患者74例作为研究对象,所有入组患者按照随机数表法分为观察组和对照组各37例.对照组患者接受精神病患者常规护理,观察组患者接受积极心理学理论护理干预,采用幸福进取者问卷(HEIQ)、简明精神病评定量表(BPRS)、社会功能缺陷筛选量表(SDSS)、自尊量表(SES)评价两组患者在积极心理评分、精神病症状、社会功能及自尊水平评分等方面的差异.结果 (1)观察组患者接受干预后的幸福感、自我肯定、目标管理、克服困难、人际关系、学习成长等积极心理评分值均明显高于对照组,差异均有统计学意义(P<0.05);(2)观察组患者接受护理干预后的焦虑抑郁、活力缺乏、思维障碍、敌视猜疑等精神病症状评分值明显低于对照组,差异均有统计学意义(P<0.05);(3)观察组患者接受护理干预后的社会功能评分低于对照组、自尊水平评分高于对照组,差异均有统计学意义(P<0.05).结论 积极心理学理论指导下的护理干预应用于精神分裂症患者中,可以有效减轻该病临床症状,提升患者的积极心理及社会功能,具有积极的临床意义.

Value of nursing intervention based on "positive psychology" theory in patients with schizophrenia

Objective To analyze the value of nursing intervention based on"positive psychology"theory in patients with schizophrenia. Methods Seventy-four patients of schizophrenia from December 2013 to December 2014 in our hospital were selected as study subjects, which were divided into control group and observation group according to random number table, with 37 patients in each group. The control group received routine nursing care, while the obser-vation group applied nursing intervention based on"positive psychology"theory. Happy Enterprising Individual Ques-tionnaire (HEIQ), Brief Psychiatric Rating Scale (BPRS), Social Disability Screening Schedule (SDSS), self-esteem scale (SES) were used to evaluate the patients' positive mental score, psychotic symptoms, social function and self-es-teem score in the two group. Results (1) After intervention, the scores for happiness, self-affirmation, goal manage-ment, overcoming difficulties, interpersonal relationship, learning and growth were significantly higher in the observa-tion group than the control group (P<0.05). (2) After intervention, the scores for anxiety and depression, lack of energy, thought disorder, hostility and suspicion were significantly lower in the observation group than the control group (P<0.05). (3) After intervention, the social function scores in the observation group was significantly lower than that in the control group, while the self-esteem score in the observation group was significantly higher (P<0.05). Conclusion Ap-plication of nursing intervention based on"positive psychology"theory in patients with schizophrenia can effectively re-duce the symptoms of the disease and enhance positive mental and social function of patients, which has positive clinical significance.