摘要
目的探讨同伴互助学习法对康复期男性偏执型精神分裂症者自我效能、自尊及生活质量的影响.方法将106例康复期男性偏执型精神分裂症患者按建档顺序分为两组,每组53例.两组均予以认知行为疗法及日常生活能力训练治疗,研究组在此基础上联合同伴互助学习法冶疗,干预2个月.于干预前后采用一般自我效能感量表、自尊量表评定自我效能及自尊,精神分裂症患者生活质量量表评定患者的生活质量,自制患者满意度调查评定患者满意度.结果干预后两组一般自我效能感量表、自尊量表评分均较干预前显著升高(P<0.01),精神分裂症患者生活质量量表总分及症状-副反应、动机/精力、心理社会维度分较干预前显著降低(P<0.01);两组间比较差异有统计学意义(P<0.01).研究组患者满意率为94.34%,对照组为81.13%,研究组显著高于对照组(P<0.05).结论同伴互助学习法能改善康复期男性偏执型精神分裂症患者的自我效能感及自尊状态,提高患者生活质量及满意度.
Objective To explore the effect of peer-to-peer learning method on self-efficacy,self-esteem and quality of life in male patients with paranoid schizophrenia during rehabilitation.Methods A total of 106 male patients with paranoid schizophrenia were divided into two groups according to the order of establishment,53 cases each.Both groups were trained in cognitive behavioral therapy and daily life ability(ADL).On the basis of the control group,the study group adopted the peer-to-peer learning method for 2 months.OSES and SES were used to assess self-efficacy and self-esteem before and after intervention.SQLS was used to assess the quality of life of patients,and self-made patient satisfaction survey was used to assess patient satisfaction.Results After intervention,the scores of GSES and SES in the two groups were higher than those before the intervention(P<0.01).The total score of quality of life and the symptoms-side effects,motivation/energy,and psychosocial dimensions of patients with schizophrenia were significantly lower than those before intervention(P<0.01).The difference between the two groups was statistically significant(P<0.01).The patient satisfaction rate was 94.34% in the study group and 81.13% in the control group,which was significantly higher in the study group than in the control group(P<0.05).Conclusions Using the peer-to-peer learning method to intervene in the rehabilitation period of male paranoid schizophrenia can effectively improve their self-efficacy and self-esteem,improve their quality of life and satisfaction.
作者
邱玉华
汤语忌
陈增民
Qiu Yuhua;Tang Yuji;Chen Zengmin(The Second Affiliated Hospital of Xinxiang Medical College,Xinxiang 453002,Henan,China)
出处
《临床心身疾病杂志》
CAS
2019年第6期54-57,共4页
Journal of Clinical Psychosomatic Diseases
作者简介
邱玉华,女,43岁,汉族,本科,主管护师,护士长。主要研究成果:发表专业论文6篇。研究方向:精神分裂症临床护理及护理管理。
