摘要
目的评价叙事疗法对精神分裂症患者内在病耻感、自尊的影响。方法将100例住院治疗的精神分裂症患者随机分为叙事组和对照组,各50例。对照组接受常规护理,叙事组在常规护理基础上接受6次面对面叙事疗法干预,比较两组干预前后精神疾病内在病耻感量表和自尊量表得分情况。结果叙事组45例、对照组46例完成研究。干预后,两组病耻感总分较前下降、自尊得分较前提升(均P<0.05);叙事组病耻感得分显著低于对照组、自尊得分显著高于对照组(均P<0.05)。结论叙事疗法有助于减轻精神分裂症患者的病耻感,提高自尊。
Objective To evaluate the effect of narrative therapy on stigma and self-esteem of patients with schizophrenia.Methods One hundred schizophrenic patients who were hospitalized in the psychiatric department were randomized into a control group or a narrative group,with 50 in each group,receiving either routine care or 6 sessions of face-to-face narrative therapy,respectively.The Internalized Stigma of Mental Illness scale and the Self-Esteem Scale were used to compare the effect.Results A total of 45 cases in the narrative group and 46 in the control group completed the study.After the intervention,the scores of internalized stigma decreased and self-esteem increased in both groups(both P<0.05).The narrative group exhibited significantly lower stigma score and higher self-esteem score compared with the control group after the intervention(both P<0.05).Conclusion Narrative therapy can effectively alleviate stigma and improve self-esteem of patients with schizophrenia.
作者
向彦琪
黄庆年
莫芬
王彩云
张桔红
刘素芳
张展筹
Xiang Yanqi;Huang Qingnian;Mo Fen;Wang Caiyun;Zhang Juhong;Liu Sufang;Zhang Zhanchou(Clinical Nursing Teaching and Research Section,The Second Xiangya Hospital of Central South University,Changsha 410011,China)
出处
《护理学杂志》
CSCD
北大核心
2024年第1期84-87,97,共5页
Journal of Nursing Science
基金
中南大学湘雅二医院2021年度临床护理科研基金项目(2021-HLKY-13)。
关键词
精神分裂症
叙事疗法
叙事护理
病耻感
自尊
故事理论
心理康复
心理护理
schizophrenia
narrative therapy
narrative nursing
stigma
self-esteem
story theory
psychological rehabilitation
psychological nursing
作者简介
向彦琪,女,硕士,主管护师,412343193@qq.com;通信作者:张展筹,zzcd@163.com。
