首页|叙事护理联合认知矫正治疗在精神分裂症患者中的应用

叙事护理联合认知矫正治疗在精神分裂症患者中的应用

扫码查看
目的 分析叙事护理加认知矫正治疗用于精神分裂症患者的效果。方法 选取 2021 年 1 月至 2021 年 6 月期间在新乡医学院第二附属医院收治的90例精神分裂症患者进行研究,经随机数字表法分成对照组(予以常规干预措施)和观察组(在对照组基础上加以叙事护理及认知矫正治疗)各 45 例,观察两组干预前后汉密尔顿焦虑量表(HAMA)及抑郁量表(HAMD)、阳性和阴性症状评分量表(PANSS)、蒙特利尔认知量表(MoCA)得分及对护理工作满意度。结果 干预前,两组HAMA、HAMD及MoCA评分比较差异无统计学意义(P>0。05);干预后,两组HAMA、HAMD评分低于干预前,MoCA评分高于干预前,且观察组HAMA、HAMD评分低于对照组,MoCA评分高于对照组,表示差异有统计学意义(P<0。05)。干预前,两组PANSS评分(阳性症状评分、阴性症状评分及一般精神病理症状评分)差异无统计学意义(P>0。05);干预后,两组PANSS评分(阳性症状评分、阴性症状评分及一般精神病理症状评分)低于干预前,且观察组低于对照组,差异有统计学意义(P<0。05)。观察组满意度高于对照组,差异有统计学意义(P<0。05)。结论 叙事护理加认知矫正治疗用于精神分裂症患者能改善其心理状态、精神症状及认知功能,提升其满意度。
Application of Narrative Nursing Combined with Cognitive Correction Therapy in Patients with Schizophrenia
Objective To analyze the effect of narrative nursing combined with cognitive correction therapy on patients with schizophrenia.Methods A total of 90 patients with schizophrenia treated in The Second Affiliated Hospital of Xinxiang Medical College from January 2021 to June 2021 were selected for the study.They were divided into the control group(given conventional intervention measures)and the observation group(given narrative nursing and cognitive correction therapy based on the control group)with 45 cases each by the random number table method.The Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD),Positive and Negative Syndrome Scale(PANSS),Montreal Cognitive Assessment(MoCA)scores,and satisfaction with nursing work of the two groups before and after intervention were observed.Results Before intervention,there was no statistically significant difference in HAMA,HAMD,and MoCA scores between the two groups(P>0.05).After intervention,the HAMA and HAMD scores of both groups were lower than before intervention,and the MoCA scores were higher than before intervention.The HAMA and HAMD scores of the observation group were lower than those of the control group,and the MoCA scores were higher than those of the control group,indicating statistically significant differences(P<0.05).Before intervention,there was no statistically significant difference in PANSS scores(positive symptom score,negative symptom score,and general psychopathological symptom score)between the two groups(P>0.05).After intervention,the PANSS scores(positive symptom score,negative symptom score,and general psychopathological symptom score)of both groups were lower than before intervention,and the observation group was lower than the control group,with statistically significant differences(P<0.05).The satisfaction of the observation group was higher than that of the control group,with a statistically significant difference(P<0.05).Conclusion Narrative nursing combined with cognitive correction therapy for patients with schizophrenia can improve their psychological state,mental symptoms,and cognitive function,and enhance their satisfaction.

narrative nursingcognitive correction therapyschizophreniacognitive functionsatisfaction

张青磊、曹娜娜、浮艳红、郭雯霏

展开 >

新乡医学院第二附属医院 神经外科,河南 新乡 453002

叙事护理 认知矫正治疗 精神分裂症 认知功能 满意度

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(7)