护理学杂志2024,Vol.39Issue(1) :84-87,97.DOI:10.3870/j.issn.1001-4152.2024.01.084

叙事疗法对精神分裂症患者病耻感和自尊的影响

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

向彦琪 黄庆年 莫芬 王彩云 张桔红 刘素芳 张展筹
护理学杂志2024,Vol.39Issue(1) :84-87,97.DOI:10.3870/j.issn.1001-4152.2024.01.084

叙事疗法对精神分裂症患者病耻感和自尊的影响

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

向彦琪 1黄庆年 1莫芬 1王彩云 1张桔红 1刘素芳 1张展筹1
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作者信息

  • 1. 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
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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.

Abstract

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.

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

Key words

schizophrenia/narrative therapy/narrative nursing/stigma/self-esteem/story theory/psychological reha-bilitation/psychological nursing

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基金项目

中南大学湘雅二医院临床护理科研基金(2021)(2021-HLKY-13)

出版年

2024
护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCDCSCD北大核心
影响因子:2.062
ISSN:1001-4152
被引量2
参考文献量23
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