马斯洛需要层次论在首发精神分裂症患者康复中的应用

目的：分析系统性红斑狼疮（SLE）青年女性患者负性情感产生的原因，探讨情志干预对改善负性情感的效果。方法：SLE患者138例，随机分为干预组和对照组各69例。2组均按常规给予对症支持药物治疗，对照组按常规护理，干预组同时进行情志护理。治疗前后应用症状自评量表（SCL-90）评定患者情绪状态。结果：治疗前SLE患者SCL-90总均分及各种因子均高于国内常模（P〈0．01）。治疗1个月后，干预组患者SCL-90总均分及各种冈子评分均较治疗前及对照组明显下降（P〈0．01），对照组治疗前后比较差异无统计学意义。结论：分析负性情感产生因素，并通过中医情志护理方法干预后，SLE青年女性患者的悲观、恐惧、焦虑、孤独等负性情感有明显改善。

Application of Maslow's hierarchy of needs in rehabilitation of first-episode schizophrenia

Objective:To explore the application of Maslow''s hierarchy of needs in rehabilitation of first-episode schizophrenia.Methods:Eighty cases of first-episode schizophrenia were randomly divided into two groups,40 cases in each group.The patients in observation group were guided by Maslow''s hierarchy of needs according to different needs of different stages,and nursing intervention was given to meet patients'' physical and psychological needs;patients in control group were given routine psychiatric nursing.The scores of PANSS,NOSIE-30 and SDSS on admission,6 weeks after admission,and at discharge were assessed.Results:Six weeks after admission and at discharge,the scores of PANSS,negative symptoms,positive symptoms and general psychopathology subscale in both groups were lower than pretreatment(P<0.05,0.01),exhibiting a persistent downward trend,and more significantly in observation group than in control group(P<0.05).Six weeks after admission and at discharge,NOSIE-30 scores in both groups were higher than in pretreatment (P<0.05,0.01),exhibiting a persistent upward trend,and more significantly in observation group than in control group(P<0.05).Conclusion:In the rehabilitative period of first-episode schizophrenia,using Maslow''s hierarchy of needs to guide clinical nursing can enhance treatment compliance and self-care ability,improve quality of life,and promote recovery of social function of patients.