School of Psychology, Zhejiang Normal University, Jin Hua, China.
School of Humanities and International Education Exchange, Anhui University of Chinese Medicine, HeFei, China.
Medicine (Baltimore). 2023 Aug 11;102(32):e34827. doi: 10.1097/MD.0000000000034827.
The aim of this review is to explore the clinical nursing application of cognitive behavioral therapy (CBT) in patients with schizophrenia. A literature search was conducted using the CINAHL and MEDLINE databases. The database search occurred during the month of December 2022. This article comprehensively summarizes the theoretical basis of CBT in improving schizophrenia in clinical nursing, its application in managing symptoms and improving social function, as well as research progress in this field. There are still inconsistencies in the research results on CBT, but overall, psychological intervention combined with drug treatment is more effective than conventional treatment alone. If social function training can be added at the same time, it is believed that it will have better effects on clinical treatment and can maintain long-lasting effectiveness. Only in this way can patients truly understand and recognize the disease, improve treatment compliance, and ultimately achieve the goal of improving prognosis and quality of life.
本综述旨在探讨认知行为疗法(CBT)在精神分裂症患者中的临床护理应用。使用 CINAHL 和 MEDLINE 数据库进行文献检索。数据库搜索于 2022 年 12 月进行。本文全面总结了 CBT 在改善临床护理中精神分裂症方面的理论基础、在管理症状和改善社会功能方面的应用,以及该领域的研究进展。CBT 的研究结果仍存在不一致之处,但总体而言,心理干预联合药物治疗比单纯常规治疗更有效。如果同时能加入社会功能训练,相信对临床治疗会有更好的效果,并且能维持持久的效果。只有这样,患者才能真正了解和认识疾病,提高治疗依从性,最终达到改善预后和生活质量的目的。