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系统认知治疗技术在精神分裂症患者临床心理护理中的应用效果(1)
http://www.100md.com 2020年8月15日 《中国当代医药》 202023
     [摘要]目的 探討系统认知治疗技术在精神分裂症患者临床心理护理中的应用效果。方法 选取2018年1月~2019年10月我院收治的52例精神分裂症患者,按照随机数字表法分为两组,每组各26例。研究组在对照组基础上采用系统认知治疗技术,对照组采用常规心理护理,分析两组护理满意度、护理后简明精神病量表(BPRS)评分、自知力与治疗态度表(ITAQ)、住院精神患者观察量表(NOSIE)、生活质量、治疗总依从性。结果 研究组护理总满意度高于对照组,差异有统计学意义(P<0.05);护理后,研究组的BPRS评分低于对照组,差异有统计学意义(P<0.05),研究组护理后的ITAQ、NOSIE评分高于对照组,差异有统计学意义(P<0.05),研究组护理后的生活质量高于对照组,差异有统计学意义(P<0.05),研究组治疗总依从性高于对照组,差异有统计学意义(P<0.05)。结论 在精神分裂症患者临床心理护理中使用系统认知治疗技术,可提高患者的自知力,改善患者精神症状,提高治疗依从性,提高生活质量,也提高护理满意度,改善医患关系,可在临床应用推广。

    [关键词]系统认知治疗技术;精神分裂症;心理护理;简时精神病量表评分;护理满意度

    [中图分类号] R473.74 [文献标识码] A [文章编号] 1674-4721(2020)8(b)-0247-03

    [Abstract] Objective To explore the application effect of systematic cognitive therapy in the clinical psychological care of patients with schizophrenics. Methods A total of 52 patients with schizophrenia treated in our hospital from January 2018 to October 2019 were selected. They were divided into control group and study group according to random number table method, 26 cases in each group. The study group adopted the system cognitive therapy technology on the basis of the control group, and the control group was treated with routine psychological nursing. The nursing satisfaction, brief psychiatric response scale (BPRS), insight and treatment attitude questionnaire (ITAQ), inpatient psychiatric observation scale (NOSIE) after nursing, quality of life (QOL) and total treatment compliance were analyzed between the two groups. Results The nursing total satisfaction of the study group was higher than that of the control group, the difference was statistically significant (P<0.05), the BPRS score of the study group after nursing was lower than that of the control group, the difference was statistically significant (P<0.05), the ITAQ and NOSIE scores of the study group after nursing were higher than those of the control group, the differences were statistically significant (P<0.05), the quality of life of the study group after nursing was higher than that of the control group, the difference was statistically significant (P<0.05), the total treatment compliance of the study group was higher than that of the control group, the difference was statistically significant (P<0.05). Conclusion Using the system cognitive therapy technology in the clinical psychological care of schizophrenic patients can improve the patients′ self-knowledge, improve the patients′ mental symptoms, improve the treatment compliance, improve the quality of life, also improve the nursing satisfaction, improve the relationship between doctors and patients, so it can be used in clinical practice., http://www.100md.com(董鲜苗 陈淑燕 谢璧霞)
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