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叙事疗法对精神分裂症患者病耻感和自尊的影响

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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.
Effect of narrative therapy on stigma and self-esteem in patients with schizophrenia
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 ca-ses 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.

schizophrenianarrative therapynarrative nursingstigmaself-esteemstory theorypsychological reha-bilitationpsychological nursing

向彦琪、黄庆年、莫芬、王彩云、张桔红、刘素芳、张展筹

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中南大学湘雅二医院临床护理学教研室(湖南长沙,410011)

中南大学湘雅二医院国家精神疾病医学中心

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

中南大学湘雅二医院临床护理科研基金(2021)

2021-HLKY-13

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(1)
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