健康信念模式教育对恢复期精神分裂症患者负性情绪的影响

目的：探讨健康信念模式教育对恢复期精神分裂症患者负性情绪的影响，以提高患者的治疗依从性和自我效能。方法：将符合条件的精神分裂症患者80例按随机数字表法分为试验组和对照组，两组均接受抗精神病药物系统治疗和护理，并进行常规健康教育，试验组在此基础上给予健康信念模式教育8周，教育前和教育后分别采用焦虑自评量表（SAS）、抑郁自评量表（SDS）、一般自我效能感量表（GSES）、自制遵医行为统计表评定评分。结果：教育前遵医行为评定、SDS评分、SAS评分、GSES评分两组间比较差异无统计学意义（P〉0．05）；教育后两组SAS、SDS评分都明显降低，GSES和遵医行为评分都明显增高，且试验组变化更明显（P〈0．05）。结论：健康信念模式教育能明显地使患者建立良好的健康意识，去除或减少患者的不良情感，提高自我效能和治疗依从性。

Effects of Health Belief Mode Education on Negative Emotions of Schizophrenia Patients in Stage of Recovery

Objective： To discuss the effects of health belief mode education on negative emotions of schizophrenia patients in stage of recovery, in order to improve the patients＇ treatment compliance and self-efficacy.Method： 80 cases of schizophrenia were divided into experimental group and the control group according to random digit table, two groups were treated with antipsychotics system and care, and for regular health education, on the basis of this, the experimental group given health belief mode education for 8 weeks. The scores were evaluated by using self-evaluation of anxiety scale （ SAS ）, self-evaluation depression scale （ SDS ）, general self-efficacy scale （ GSES ） and homemade statistics of the medical behavior before education and after education. Result： Before education, the difference of SAS, SDS and GSES scores were no statistical significance between the two groups （ P〉0.05 ） . After education, SAS, SDS scores of two groups were significantly lower, GSES and medical behavior scores were significantly higher, changes in the experimental group was more obvious （P〈0.05） . Conclusion： Health belief mode education can effectively make the patients to set up correct health belief, eliminate or improve their negative emotions, improve the self-efficacy and treatment compliance.