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情感支持对首发精神分裂症患者康复的影响(1)
http://www.100md.com 2019年2月26日 《医学信息》 2019年第8期
     摘要:目的 分析情感支持对首发精神分裂症患者康复的影响。方法 回顾分析我院2016年1月~2017年12月收治的136例首发精神分裂症患者,根据患者在治疗过程中是否得到充分的情感支持分为情感支持组和支持缺失组,各68例,比较两组患者服药依从性、简明精神病量表(BPRS)评分、个人和社会功能量表(PSP)评分及复发率。结果 情感支持组患者服药依从人数高于支持缺失组,不依从人数低于支持缺失组,差异有统计学意义(P<0.05);治疗4周、8周后,情感支持组的BPRS评分低于支持缺失组,且PSP评分高于支持缺失组,差异有统计学意义(P<0.05);情感支持组复发率19.67%,低于支持缺失组的54.72%,差异有统计学意义(P<0.05)。结论 情感支持能改善精神分裂症患者服药依从性,缓解患者症状表现,利于患者恢复,提升患者自身社会功能,降低精神分裂症的复发率。

    关键词:精神分裂症;服药依从性;BPRS评分;PSP评分;情感支持

    中图分类号:R473.5 文献标识码:A DOI:10.3969/j.issn.1006-1959.2019.08.062
, 百拇医药
    文章编号:1006-1959(2019)08-0190-03

    Abstract:Objective To analyze the effect of emotional support on the rehabilitation of first-episode schizophrenia patients. Methods A retrospective analysis of 136 patients with first-episode schizophrenia admitted to our hospital from January 2016 to December 2017 was divided into emotional support group and support loss group according to whether patients received sufficient emotional support during the treatment, 68 cases each. The medication adherence, the Concise Psychiatric Rating Scale (BPRS) score, the Personal and Social Function Scale (PSP) score, and the recurrence rate were compared between the two groups.Results The number of patients who received medication in the emotional support group was higher than that in the support group. The number of non-compliance was lower than that in the support group,the difference was statistically significant (P<0.05). After 4 weeks and 8 weeks, the BPRS score of the emotional support group was lower. The missing group was supported, and the PSP score was higher than the support-deficient group, the difference was statistically significant (P<0.05). The recurrence rate of the emotional support group was 19.67%, which was lower than that of the support-deficient group 54.72%,the difference was statistically significant (P<0.05). Conclusion Emotional support can improve the compliance of patients with schizophrenia, relieve the symptoms of patients, facilitate the recovery of patients, improve their social function and reduce the recurrence rate of schizophrenia.
, 百拇医药
    Key words:Schizophrenia;Medication adherence;BPRS score;PSP score;Emotional support

    目前,精神分裂症(schizophrenia)是无法治愈的,一旦患上该病,只能靠长期服用药物来维持正常的精神状态,而精神药物的滥用对大脑、身体损害,令患者持续破坏的生理心理人格积重难返。在精神疾病康復护理方面,目前更多注重的是生活层面的护理和照料,对患者的精神和心理的护理不够重视。有研究表明[1-3],通过心理护理可有效提高精神疾患的临床疗效,尤其在发病初期,心理治疗和情感支持对疾病的康复有着非常重要的作用。基于此,本研究选择我院136例首发精神分裂症患者,研究情感支持的作用,现报告如下。, 百拇医药(卢小嫦)
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