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叙事护理对精神分裂症患者病耻感和负性情绪的影响研究

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目的 分析叙事护理对精神分裂症患者病耻感和负性情绪的干预效果.方法 随机选取2022年4月—2023年4月榆林市第五医院收治的200例精神分裂症患者为研究对象,依据不同护理方法分为对照组与干预组,每组100例,对照组实施常规心理护理,干预组实施叙事护理,比较两组患者精神疾病自我病耻感受量表(Internalized Stigma of Mental Illness,ISMI)和负性情绪[采用焦虑自评量表(Self-rating Anxiety Scale,SAS)和抑郁自评量表(Self-rating Depression Scale,SDS)]评分.结果 护理3个月后,干预组ISMI评分为(33.30±5.31)分低于对照组的(45.00±5.43)分,差异有统计学意义(t=15.418,P<0.05).护理后不同时间,干预组SAS、SDS评分均低于对照组,差异有统计学意义(P均<0.05).结论 叙事护理可有效降低精神分裂症患者负性情绪和病耻感评分.
Study on the Effect of Narrative Nursing on Stigma and Negative Emotion in Patients with Schizophrenia
Objective To analyze the intervention effect of narrative nursing on stigma and negative emotion in pa-tients with schizophrenia.Methods A total of 200 patients with schizophrenia who were treated in Yulin Fifth Hospital from April 2022 to April 2023 were randomly selected as the study objects.According to different nursing methods,they were divided into control group and intervention group,with 100 cases in each group.The control group received routine psychological nursing,and the intervention group received narrative nursing.The Internalized Stigma of Men-tal Illness(ISMI)scale and negative emotions score[assessed using the Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)]were compared between the two groups.Results After three months of nursing,the ISMI score of the intervention group was(33.30±5.31)points,which was lower than(45.00±5.43)points of the control group,the difference was statistically significant(t=15.418,P<0.05).At different time after nursing,the scores of SAS and SDS in the intervention group were lower than those in the control group,and the differences were statistically sig-nificant(all P<0.05).Conclusion Narrative nursing can effectively reduce the negative emotion and stigma score of pa-tients with schizophrenia.

Narrative nursingSchizophreniaStigmaAnxietyDepressed

高玮、高敏、马军旗、王丹丹、陈越

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榆林市第五医院,陕西 榆林 719000

叙事护理 精神分裂症 病耻感 焦虑 抑郁

榆林市科协青年人才托举计划项目

20220449

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(24)