The effects of targeted psychological intervention on the psychological status and medication compliance of female patients with schizophrenia
Objective To explore the effect of problem-oriented targeted psychological intervention on psychological status and medication compliance in female patients with schizophrenia.Methods Three hundred and thirty female patients with schizophrenia treated in our hospital from January 2021 to June 2023 were selected.The patients were divided into an intervention group and a control group according to odd-even number method,165 in each group.The intervention group received problem-oriented targeted psychological intervention.The intervention was performed by analyzing the psychological characteristics and root causes of individual patients,and then targeted intervention regimen was formulated.The psychological status and behavior of the patients was intervened to help them solve psychological problems or improve the mental health.The control group was given routine psychological intervention through psychological counseling,drug treatment,etc.to help them better understand and deal with their emotions and regulate their inner anxiety and pressure.Before and after 1 month of intervention,the improvement of psychiatric symptom was assessed by Brief Psychiatric Rating Scale(BPRS)and Symptom Checklist-90(SCL-90).The self-management ability was assessed by Exercise of Self-Care Agency Scale(ESCA).The social function was assessed by Scale of Social Function Deficit-Mental Disorders(SSFD-MD).The psychological status was assessed by Chinese version of Calgary Depression Scale for Schizophrenia(CDSS-C)and Self-Perceived Burden Scale(SPBS).The medication compliance was assessed by Medication Adherence Rating Scale(MARS)and Beliefs about Medication Questionnaire(BMQ).All scores were compared between the two groups.Results After 1 month of intervention,the scores of BPRS,SCL-90,SSFD-MD,CDSS-C and SPBS in both groups were significantly reduced compared with those before intervention,and the scores in the intervention group were lower than those in the control group(all P＜0.05).The scores of ESCA,MARS and BMQ were significantly enhanced in the two groups than those before intervention,and the scores in the intervention group were higher than those in the control group(all P＜0.05).Conclusions Problem-oriented targeted psychological intervention methods have significant advantages in the care of female patients with schizophrenia.By improving the patient's mental status,self-management ability and social function,the patient's mental status and medication compliance are improved.A solid foundation for rebuilding a healthy life is built.
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