积极性干预对首发精神分裂症患者家庭负担及家属心理波动的影响

Effect of positive intervention on family burden and family members’psychological fluctuation of first-episode schizophrenia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(4)
作者
作者单位

上海市浦东新区南汇精神卫生中心 ;
上海市精神卫生中心 ;
上海市精神卫生中心 ;
上海市浦东医院 ;

摘要
摘要:目的:分析积极性干预对首发精神分裂症患者家庭负担及家属心理波动的影响。方法:本研究选取了上海市浦东新区南汇精神卫生中心于2014年7月~2017年1月住院的60例首发精神分裂症患者家属作为研究对象,随机分为实验组和对照组各30例,对两组患者的家庭情况进行调查,同时分析干预后两组患者的FBS评分,和积极性干预前后的患者家属HAMD(汉密尔顿抑郁量表)、SAS(焦虑自评量表)及患者BPRS(简明精神病评定量表)减分率。结果:两组患者的一般情况相比,差异无统计学意义(P>0.05);干预后,实验组的FBS评分明显低于对照组(P≤0.05);干预前,两组患者家属的HAMD和SAS评分相比差异无统计学意义(P>0.05),干预后,实验组患者家属的HAMD和SAS评分明显低于对照组(P≤0.01),且BPRS减分率显著高于对照组(P≤0.01)。结论:首发精神分裂症患者家属承受着较大的家庭负担,通过对其实施积极性干预,可以有效降低患者家属的HAMD和SAS评分,同时也将提高患者的BPRS减分率,有利于改善患者家属的心理状态,宜广泛应用和推广。
Abstract
Abstract: Objective: The purpose of this study was to investigate the effect of positive intervention on family burden and family members’ psychological fluctuation of first-episode schizophrenia. Methods: 60 cases of first-episode schizophrenic family members admitted in this hospital were selected as the research objects from July 2014 to July 2017. The patients were randomly divided into the experimental group and control group, with 30 cases in each group. The family backgrounds of patients in the two groups were investigated. Meanwhile, the patients’ FBS scores after intervention and Hamilton Depression Scale (HAMD) of patient members as well as patients’ Brief Psychiatric Rating Scale (BPRS) reducing rates before and after positive intervention were compared between the two groups. Results: The general conditions of patients showed no statistically significant difference between the two groups (P>0.05); After the nursing intervention, the FBS score of the experimental group was significantly lower than that of the control group (P≤0.05); Before the nursing intervention, the HAMD and SAS scores of family members showed no statistically significant difference between the two groups (P>0.05). After the nursing intervention, the HAMD and SAS scores of family members in the experimental group were significantly lower than those of the control group (P≤0.01) and the BPRS reducing rate was significantly higher than that of the control group (P≤0.01). Conclusion: The first-episode schizophrenic patients’ family member born greater burden on the family. The positive intervention could effectively reduce the family members’ HAMD and SAS scores. Meanwhile, it would increase the BPRS reducing rate of patients and improve patients’ psychological state, it should be widely applied and promotion.
关键词
关键词:积极性干预;首发精神分裂症;
KeyWord
Keywords: positive intervention; first-episode schizophrenia;
基金项目
页码 625-628
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陈良虎,李小平,汪燕,姚琳,吴雪芬,顾春红,单莺*. 积极性干预对首发精神分裂症患者家庭负担及家属心理波动的影响 [J]. 国际精神病学杂志. 2018; 45; (4). 625 - 628.

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