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综合心理行为护理对精神分裂症门诊患者情绪-行为反应、认知变化的影响:基于前瞻性随机对照研究。

Effect of Integrated Psychobehavioral Care on Emotional-Behavioral Responses, Cognitive Changes in Outpatients with Schizophrenia Followed Up: Based on a Prospective Randomized Controlled Study.

机构信息

Department of Outpatient, Nanjing Jinling Hospital, Nanjing University School of Medicine, Nanjing, 210002 Jiangsu Province, China.

The Sixth Stationed Outpatient Department, Nanjing Jinling Hospital, Nanjing University School of Medicine, Nanjing, 210002 Jiangsu Province, China.

出版信息

Comput Math Methods Med. 2022 Jun 16;2022:1862396. doi: 10.1155/2022/1862396. eCollection 2022.

Abstract

BACKGROUND

In recent years, influenced by the continuous improvement and development of the medical service model and the increasing demands of modern people for the quality of clinical care, the clinical treatment of schizophrenic groups has also received widespread attention and importance from all sectors of society. Psychobehavioral care is administered to patients during active antipsychotic treatment, which can maximize the patient's cooperation with clinical work and thus play an auxiliary role in treatment.

AIMS

To investigate the impact of emotional-behavioral responses, cognitive changes in outpatient follow-up of schizophrenic patients with integrated psychobehavioral care.

MATERIALS AND METHODS

One hundred cases of schizophrenia patients with outpatient follow-up in our hospital from March 2017 to March 2019 were selected as prospective study subjects and divided into a comparison group and an observation group of 50 cases each according to a random number table. Among them, the comparison group implemented conventional psychobehavioral care, and the observation group implemented integrated psychobehavioral care. The differences in compliance behavior, negative emotions, cognitive behavioral changes, and pain scores before and after care of schizophrenia patients in the outpatient follow-up were compared between the two groups.

RESULTS

After care, the compliance behavior, negative emotions, cognitive behavioral changes, and pain scores of schizophrenia patients in both groups with outpatient follow-up were significantly improved and significantly higher in the observation group than in the comparison group, and statistics showed that this difference was statistically significant ( < 0.05).

CONCLUSION

Integrated psychobehavioral care combined with conventional psychobehavioral care can effectively enhance the compliance behavior of outpatient follow-up schizophrenia patients, improve the negative emotions and pain of patients, and facilitate the active treatment of patients to improve their prognosis. It has some reference value for outpatient follow-up schizophrenia patient care.

摘要

背景

近年来,受医疗服务模式不断完善和发展的影响,以及现代人对临床护理质量要求的不断提高,精神分裂症群体的临床治疗也受到了社会各界的广泛关注和重视。在积极的抗精神病治疗期间,对患者进行心理行为护理,可以最大限度地提高患者对临床工作的配合度,从而对治疗起到辅助作用。

目的

探讨整合心理行为护理对精神分裂症患者门诊随诊时的情绪行为反应、认知变化的影响。

材料与方法

选取我院门诊随诊的精神分裂症患者 100 例作为前瞻性研究对象,根据随机数字表法分为对照组和观察组各 50 例。其中对照组实施常规心理行为护理,观察组实施整合心理行为护理。比较两组精神分裂症患者门诊随诊前后的遵医行为、负性情绪、认知行为变化及疼痛评分的差异。

结果

护理后,两组门诊随诊的精神分裂症患者的遵医行为、负性情绪、认知行为变化及疼痛评分均明显改善,且观察组明显优于对照组,差异均有统计学意义( < 0.05)。

结论

整合心理行为护理联合常规心理行为护理可有效增强门诊随诊精神分裂症患者的遵医行为,改善患者的负性情绪及疼痛程度,促使患者积极配合治疗,改善其预后,对门诊随诊精神分裂症患者的护理具有一定的参考价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b06/9225882/04d9495e324b/CMMM2022-1862396.001.jpg

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