认知层面的情境化预演习方案在精神分裂症患者中的应用

目的:探讨认知层面的情境化预演习方案在精神分裂症(SCH)患者中的应用效果。方法:选取2018年1月1日~2019年12月31日收治的SCH患者70例为研究对象,采用随机信封法分为常规组和干预组各35例。常规组给予常规护理干预,干预组在常规护理干预基础上实施基于认知层面的情境化预演习。均干预6个月,比较两组干预前后认知功能采用精神分裂症认知功能评估量表(SCoRS)]、临床症状采用阳性和阴性症状量表(PANSS)]、自尊水平采用自尊量表(SES)]、心理情绪采用汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)]、社会功能采用个人和社会功能量表(PSP)]及生活质量采用精神分裂症患者生活质量量表(SQLS)]。结果:干预3、6个月,干预组SCoRs评分低于常规组(P<0.05,P<0.01);干预后,干预组PANSS中阴性症状、精神病理症状评分低于常规组(P<0.05,P<0.01);干预后,干预组SES评分高于常规组(P<0.01),HAMA、HAMD评分低于常规组(P<0.05,P<0.01);干预后,干预组PSP中有益活动、社会关系、自我照料维度得分高于常规组(P<0.01,P<0.05),SQLS中心理社会、精力/动力维度得分低于常规组(P<0.01,P<0.05)。结论:针对SCH患者实施认知层面的情境化预演习方案,可有效提高其认知功能和社会功能,改善阴性症状和负性情绪,提高生活质量。

Application of Contextualized Rehearsal Program at Cognitive Level in Patients with Schizophrenia

Objective:To explore the application effect of contextualized rehearsal program at cognitive level in patients with schizophrenia(SCH).Methods:A total of 70 patients with SCH admitted during January 1,2018-December 31,2019 were as research objects and randomly divided into the routine group and the intervention group by the envelope method,with 35 cases in each group.Patients in the routine group were given routine nursing intervention,and those in the intervention group were given contextualized rehearsal program at cognitive level on the basis of routine nursing intervention.All patients were given 6 months of intervention.Cognitive function by SCoRS,clinical symptoms by PANSS,self-esteem by SES,psychological states by HAMA and HAMD,social function by PSP and life quality by SQLS between the two groups were compared before and after intervention.Results:The SCoRS scores of the intervention group were lower than those of the routine group after 3 and 6 months of intervention(P<0.05,P<0.01)After intervention,the PANSS scores of negative symptoms and psychoticism of the intervention group were lower than those of the routine group(P<0.05,P<0.01).After intervention,the SES scores of the intervention group were higher than those of the routine group(P<0.01),and scores of the HAMA and HAMD were lower than those of the routine group(P<0.05,P<0.01).After intervention,the beneficial activities,social relations,and self care dimension scores of the PSP in the intervention group were higher than those of the routine group(P<0.01,P<0.05).The psychosocial and energy/motivation scores of SQLS in the intervention group were lower than those of the routine group(P<0.01,P<0.05).Conclusion:The implementation of contextualized rehearsal program at cognitive level in patients with SCH can effectively improve their cognitive and social functions,relieve negative symptoms and negative emotions,and improve their quality of life.