首页|自我角色认同护理在精神分裂症康复期患者中的应用及对人格特质、心理韧性和生活质量的影响

自我角色认同护理在精神分裂症康复期患者中的应用及对人格特质、心理韧性和生活质量的影响

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目的:探讨自我角色认同护理对精神分裂症(SP)康复期患者的应用效果以及对其人格特质、心理韧性和生活质量的影响.方法:选取2020年5月—2022年2月许昌市建安医院精神病性障碍科收治的80例SP康复期患者作为研究对象,采用随机数表法将其分为研究组与对照组,每组各40例.对照组给予常规精神科护理,研究组在常规护理的基础上实施自我角色认同护理干预.三个月后评估两组患者的干预效果,并比较两组患者的人格特质、心理韧性和生活质量的改善情况.结果:干预后,两组患者住院精神病康复疗效评定量表(IPROS)各维度评分均低于干预前,且研究组低于对照组,差异有统计学意义(t=2.477、2.856、2.608、3.486、2.617,P<0.05);两组患者艾森克人格问卷简式量表(EPQ-RS)各分量表评分均低于干预前,且研究组低于对照组,差异有统计学意义(t=2.406、2.798、3.546、3.567,P<0.05);两组患者Corner-Davidson韧性量表(CD-RISC)各维度评分均高于干预前,且研究组高于对照组,差异有统计学意义(t=3.234、3.092、2.889,P<0.05);两组患者精神分裂症患者生活质量量表(SQLS)评分各分量表得分均低于干预前,且研究组低于对照组,差异有统计学意义(t=2.245、2.953、2.588,P<0.05).结论:对SP康复期患者实施自我角色认同护理,可有效促进其人格特质、心理韧性和生活质量的改善,加速患者康复.
Effects of Self-role Recognition Nursing on Personality Traits,Psychological Resilience and Quality of Life of Patients with Schizophrenia During Convalescence
Objective:To explore the effect of self-role recognition nursing on personality traits,psychological resilience and quality of life of patients with schizophrenia(SP)during convalescence.Methods:A total of 80 patients with SP during convalescence who were treated in Department of Psychiatric Disorders,Jian'an Hospital from May 2020 to Feburary 2022 were selected,and divided into study group and control group by random number table method,with 40 cases in each group.The control group was given routine psychiatric nursing,and the study group was given self-role recognition nursing intervention on the basis of routine psychiatric nursing.After three months,intervention effects of the two groups were evaluated,and the improvement of personality traits,psychological resilience and quality of life were compared between the two groups.Results:After intervention,the Inpatient Psychiatric Rehabilitation Effect Rating Scale(IPROS),Eysenck Personality Questionnaire(EPQ-RS)and Schizophrenia Quality of Life Scale(SQLS)scores of both groups were lower than those before intervention(t=2.477,2.856,2.608,3.486,2.617;P<0.05).The scores of Eysenck Personality Questionnaire(EPQ-RS)subscales in two groups were lower than before intervention,and the study group was lower than the control group,with statistically significant difference(t=2.406,2.798,3.546,3.567;P<0.05).Corner-Davidson Resilience Scale(CD-RISC)scores were higher than those before intervention(P<0.05).The scores of all dimensions of the Corner-Davidson toughness Scale(CD-RISC)in the two groups were higher than before intervention,and the study group was higher than the control group,with statistically significant difference(t=3.234,3.092,2.889;P<0.05).The scores of all subscales of the schizophrenia Quality of Life scale(SQLS)in the two groups were lower than before intervention,and the study group was lower than the control group,with statistically significant difference(t=2.245,2.953,2.588;P<0.05).Conclusion:Carrying out self-role recognition nursing in patients with SP during convalescence can effectively promote their personality traits,psychological resilience and quality of life,and accelerate patients'recovery.

SchizophreniaSelf-role recognitionConvalescencePersonality traitsPsychological resilienceQuality of life

刘伟民、王辉、于兴祎

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许昌市建安医院精神病性障碍科, 河南 许昌 461000

精神分裂症 自我角色认同 康复期 人格特质 心理韧性 生活质量

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(8)
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