首页|基于潜在危险行为分析的多层面整体干预对精神分裂症患者的影响

基于潜在危险行为分析的多层面整体干预对精神分裂症患者的影响

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目的:探讨基于潜在危险行为分析的多层面整体干预对精神分裂症患者的影响。方法:选取 2020 年 6 月 1 日~2022 年6 月 30 日收治的 92 例精神分裂症患者作为研究对象,采用随机数字表法分为对照组和观察组各 46 例;对照组采用常规护理干预,观察组在对照组的基础上采用基于潜在危险行为分析的多层面整体干预。比较两组幻听症状[采用中文版精神症状评定量表(PSYRATS)中的幻听维度(PSYRATS-AH)和幻听认知量表(修订版)(BAVQ-R)中的幻听认知信念],自我接纳度[采用自我接纳问卷(SAQ)],睡眠质量[采用匹兹堡睡眠质量指数量表(PSQI)],社会功能[采用社会功能缺陷筛选量表(SDSS)]及危险行为发生情况。结果:干预后,两组PSYRATS-AH评分均降低(P<0。05),且观察组低于对照组(P<0。05),但两组幻听认知信念比较差异无统计学意义(P>0。05);干预后,两组SAQ评分均升高(P<0。05),且观察组高于对照组(P<0。05);干预后,两组PSQI、SDSS评分均降低,且观察组低于对照组(P<0。05);观察组危险行为发生率低于对照组(P<0。05)。结论:基于潜在危险行为分析的多层面整体干预可改善精神分裂症患者的幻听症状,提高患者自我接纳度与睡眠质量,减少危险行为发生情况,促进患者恢复。
Effect of Multi-level Holistic Intervention Based on Analysis of Potentially Risky Behaviors in Patients with Schizophrenia
Objective:To explore the effect of multi-level holistic intervention based on analysis of potentially risky behaviors in patients with schizophrenia.Methods:A total of 92 patients with schizophrenia who were treated in the hospital from June 2020 to June 2022 were selected as the research subjects,and they were divided into the control group and the observation group by the random number table meth-od with 46 cases in each group.The control group was given routine nursing intervention while the observation group was given multi-level holistic intervention based on analysis of potentially risky behaviors on the basis of the control group.The auditory hallucination symptom by psychotic symptom rating scales(PSYRATS-AH)and beliefs about voices questionnaire-revised(BAVQ-R),self-acceptance by safety atti-tudes questionnaire(SAQ),sleep quality by pittsburgh sleep quality index(PSQI),social function by social disability screening schedule(SDSS)and occurrence of risky behaviors were compared between the two groups of patients.Results:After nursing intervention,the scores of PSYRATS-AH in both groups were lower(P<0.05),and those in the observation group were significantly lower than those in the control group(P<0.05),but there was no significant difference in cognitive belief of auditory hallucination between the two groups(P>0.05).Af-ter nursing intervention,the scores of SAQ were lower in both groups(P<0.05),and those in the observation group were significantly lower than those in the control group(P<0.05).The scores of PSQI and SDSS in the two groups were lower,and the scores in the observation group were significantly lower than those in the control group(P<0.05).The incidence rates of risky behaviors in the observation group were significantly lower than those in the control group(P<0.05).Conclusion:Multi-level holistic intervention based on analysis of poten-tially risky behaviors can improve the auditory hallucination symptom in patients with schizophrenia,enhance the self-acceptance and sleep quality,reduce the occurrence of risky behaviors,and promote the recovery of patients.

SchizophreniaAnalysis of potentially risky behaviorsMulti-level holistic intervention

徐敬、陈艳、殷婷玉

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靖江市第二人民医院 江苏靖江 214500

精神分裂症 潜在危险行为分析 多层面整体干预

2024

齐鲁护理杂志
山东省护理学会

齐鲁护理杂志

影响因子:1.452
ISSN:1006-7256
年,卷(期):2024.30(2)
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