家属培训对长期住院慢性精神分裂症患者康复的影响

目的探讨家属心理护理、生活技能培训在长期住院的慢性精神分裂症患者康复治疗中的作用。方法选取有家庭监护条件的长期住院的精神分裂症患者126例,将其随机分为干预组(66例)和对照组(60例)。干预组由心理咨询师对患者家属进行心理护理、生活技能培训,然后对患者实施假出院3个月。对照组患者仍住院治疗。实施前后采用护士用住院患者观察量表(NOS-IE)、自尊量表(SES)进行测试。结果干预后干预组NOSIE及SES评分显著优于对照组(P<0.01,P<0.05)。结论家属心理护理、生活技能培训用于长期住院的慢性精神分裂症患者,可使其社会能力、生活技能提高,激惹、抑郁等消极情绪减少;自尊水平提升。

Effects of training of family members on rehabilitation in long-term hospitalized chronic schizophrenic patients

Objective To investigate the role of training family members in terms of psychological care and daily life care skills in rehabilitation of long-term hospitalized chronic schizophrenic patients. Methods A total of 126 long-term hospitalized chronic schizophrenic patients were randomized into a control group(n=60) and an intervention group(n=66).We provided a skill-training program for the family members of the intervention group with regard to psychological care and daily life care,and then patients were discharged to home for 3 months.Patients in the control group were hospitalized for treatment.The Nurses′ Observation Scale for Inpatient Evaluation(NOSIE) and the Self-esteem Scale(SES) were employed to test before and after the intervention. Results The NOSIE score and SES score were significantly better in the intervention group than those in the control group after intervention(P<0.01,P<0.05). Conclusion The skill-training program on psychological care and daily life care provided for family members of long-term hospitalized chronic schizophrenic patients,can improve patients′ social ability and daily life care skills,reduce negative emotions as irritability and depression,and promote self-esteem and quality of life.