摘要
目的:探讨强化式心理护理联合技巧性语言沟通对康复期精神分裂症(SP)患者认知、沟通及生活质量的影响。方法:根据不同护理方式将90例SP患者分为干预组(n=48)和常规组(n=42);常规组给予常规护理干预,干预组在其基础上给予强化式心理护理配合技巧性语言沟通,两组均干预3个月。干预前、干预3个月后,采用MATRICS共识认知成套测验(MCCB)、SP患者生命质量量表(SQLS)、沟通与互动技巧量表(ACIS)、焦虑/抑郁自评量表(SAS/SDS)分别评估患者认知功能、生活质量、沟通与互动技巧、心理状况。结果:干预后,两组患者的认知功能指标评分高于干预前(P<0.05),且除注意警觉、推理与问题解决能力外,其他认知功能指标组间比较,差异具有统计学意义(P<0.05);与干预前相比,两组干预后ACIS评分均升高,且干预组高于常规组(P<0.05);两组干预后SAS、SDS和SQLS评分均降低,且干预组低于常规组(P<0.05)。结论:强化式心理联合技巧性语言沟通可较好地促进康复期SP患者的认知功能、沟通能力,提高其生活质量,并减轻负面心理。
Objective:To study the effect of intensive psychological nursing combined with technical language communication on cognition,communication and quality of life of patients with convalescent schizophrenia(SP)during rehabilitation.Methods:90 patients with SP were enrolled in this study.They were divided into intervention group(n=48)and routine group(n=42)according to different nursing methods.The routine group received routine nursing intervention,while the intervention group received intensive psychological nursing and technical language communication based on routine nursing,both groups were intervened for 3 months.The cognitive function,quality of life,communication and interaction skills and psychological status of the patients were evaluated by MATRICS consensus cognitive battery(MCCB),the Schizophrenia Quality of Life Scale(SQLS),the assessment of communication and interaction skills(ACIS),and Self-Rating Anxiety/Depression Scale(SAS/SDS)before and 3 months after the intervention.Results:After the intervention,the scores of cognitive function indexes in the two groups were higher than those before the intervention(P<0.05).Except for alertness,reasoning and problem-solving ability,there were significant differences in other cognitive function indexes between groups(P<0.05).After intervention,the ACIS scores of both groups increased significantly,and the intervention group had higher scores than the routine group(P<0.05).After intervention,the SAS,SDS and SQLS scores of both groups significantly decreased,and the intervention group had lower scores than the routine group(P<0.05).Conclusion:Intensive psychological nursing combined with technical language communication can better improve the cognitive function,communication ability and quality of life of patients with SP during rehabilitation,and relieve their negative psychology.
作者
贺光春
米莉
李飞
马红
HE Guang-chun;MI Li;LI Fei;MA Hong(Department of Rehabilitation,the Fourth People's Hospital of Chengdu,Chengdu 610036,Sichuan,China;Department of Chronic Mental Rehabilitation,the Fourth People's Hospital of Chengdu,Chengdu 610036,Sichuan,China)
出处
《川北医学院学报》
CAS
2021年第10期1395-1398,共4页
Journal of North Sichuan Medical College
基金
四川中医药文化协同发展研究中心(2021XT82)。
关键词
精神分裂症
强化式心理护理
技巧性语言沟通
康复期
认知功能
生活质量
Schizophrenia
Intensive psychological nursing
Technical language communication
Rehabilitation period
Cognitive function
Quality of life
作者简介
贺光春(1972-),女,副主任护师。E-mail:hguangchun1124@163.com。
