精神分裂症患者首次住院恢复期的心理干预

目的 探讨精神分裂症患者首次住院恢复期的心理卫生状况及心理护理干预效果.方法 将100例处于恢复期的首次住院精神分裂症患者随机分为两组,对其中的50例进行心理护理干预(干预组),并与对照组(未干预组)进行比较.采用症状自评量表(SCL-90)于干预前和干预后4周末进行量表评定.结果 首次住院精神分裂症患者缓解期的主要心理问题为抑郁、焦虑、人际关系、强迫、敌对、偏执等.干预组在干预后4周末SCL-90的焦虑、抑郁、人际关系3个因子分与干预前相比有非常显著性差异(P＜0.01),强迫、敌对、偏执3个因子分有显著性差异(P＜0.05),其他各项因子分差异无显著性(P＞0.05);而对照组各因子分干预前后相比无显著性差异(P＞0.05).干预后两组在SCL-90的焦虑、抑郁、人际关系、强迫、敌对、偏执等6个因子分比较有显著性差异(P＜0.05).结论 心理护理干预能明显改善首次住院精神分裂症患者恢复期的心理卫生状况,促进病人的康复.

Psychological intervention on first hospitalization patients with schizophrenia during the recovery period

Objective To investigate the mental health status and effect of psychological nursing intervention on first hospitalization patients with schizophrenia.Methods 100 patients in recovery period were randomly divided into two groups.One group with 50 patients accept psychological nursing intervention(intervened group)to compare with other group(normal controls).Assessment were made before and 4 weeks after treatment with SCL-90(syndrome self-measurement).Results The main psychological problems of the in-patients were depression,anxiety,interpersonal relation,obsessive,hostile and paranoid etc.Compared with pre-intervention,the intervened group had obvious improvement in anxiety,depression and interpersonal relation(P<0.01),in obsessive hostility and paranoid(P<0.05)after 4 weeks.Other factors had no significant difference(P>0.05).After intervening,the two groups had significant differences(P<0.05)in six items on SCL-90.Conclusion Psychological nursing intervention can improve the psychological status of the first hospitalization schizophrenias in recovery period and promote the recovery of the patients.