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针对精神分裂症患者的积极心理健康干预措施:一项范围综述。

Positive mental health interventions for people with schizophrenia: A scoping review.

作者信息

Nogueira Catarina, Pereira Emanuel Dias, Coelho Joana Catarina Ferreira, Moreno-Poyato Antonio Rafael, Sequeira Carlos Alberto Cruz

机构信息

Biomedical Science Abel Salazar Institute and Higher Nursing School of Porto, Rua Jorge Viterbo Ferreira 228, 4050-313 Porto, Portugal; Superior North Health School of Portuguese Red Cross, Rua Da Cruz Vermelha, 3720-128 Oliveira de Azeméis, Portugal; Research and Development Unit of Superior North Health School of Portuguese Red Cross, Rua Da Cruz Vermelha, 3720-128 Oliveira de Azeméis, Portugal; Center for Health Technology and Services Research - Health Research Network (CINTESIS@RISE), Rua Dr. António Bernardino de Almeida 830, 844, 856, 4200-072 Porto, Portugal.

Center for Health Technology and Services Research - Health Research Network (CINTESIS@RISE), Rua Dr. António Bernardino de Almeida 830, 844, 856, 4200-072 Porto, Portugal; Polytechnic Institute of Castelo Branco - Health School Nurse, Campus da Talagueira. Av. do Empresário, 6000-767 Castelo Branco, Portugal.

出版信息

Schizophr Res. 2025 Feb;276:40-56. doi: 10.1016/j.schres.2025.01.009. Epub 2025 Jan 23.

DOI:10.1016/j.schres.2025.01.009
PMID:39854976
Abstract

BACKGROUND

Promoting positive mental health is crucial for maintaining a healthy balance of mental well-being, both for individuals with and without mental health conditions, including schizophrenia.

OBJECTIVE

To map interventions that promote positive mental health in individuals with schizophrenia.

METHODS

We conducted a scoping review following Joanna Briggs Institute recommendations. Searches were performed on Scopus, MEDLINE and CINAHL Complete (via EBSCOhost), and RCAAP for grey literature. Papers that met the following criteria were included: published from September 1999 to May 2023; involving only individuals diagnosed with schizophrenia; focused on interventions that promote positive mental health; presenting interventions with defined objectives and duration; designed for individuals or groups.

RESULTS

We identified 1111 potentially relevant records, which were screened by 2 independent researchers. 26 studies, published between 2004 and 2023 were found eligible. Most of the identified interventions were implemented in community-based settings (n = 22), in group formats (n = 20), with a total duration between 4 and 12 weeks (n = 20), session duration about 45-60 min (n = 13) and without follow up (n = 17). A significant number of interventions focused on improving interpersonal relationship capacity (n = 15) and personal satisfaction (n = 13). 9 interventions focused on enhancing autonomy, 3 on promoting self-control, 2 on problem-solving/self-actualization and 1 on promoting pro-social attitude.

CONCLUSIONS

This scoping review can contribute to improving the quality of care provided and optimizing health outcomes, enhancing the promotion of community health through increased knowledge in the field of positive mental health.

摘要

背景

促进积极的心理健康对于维持心理健康的健康平衡至关重要,无论是对于有心理健康问题还是没有心理健康问题的个体,包括精神分裂症患者。

目的

梳理促进精神分裂症患者积极心理健康的干预措施。

方法

我们按照乔安娜·布里格斯研究所的建议进行了一项范围综述。在Scopus、MEDLINE和CINAHL Complete(通过EBSCOhost)以及RCAAP上搜索灰色文献。纳入符合以下标准的论文:1999年9月至2023年5月发表;仅涉及被诊断为精神分裂症的个体;关注促进积极心理健康的干预措施;呈现具有明确目标和持续时间的干预措施;针对个体或群体设计。

结果

我们识别出1111条潜在相关记录,由2名独立研究人员进行筛选。发现2004年至2023年期间发表的26项研究符合要求。大多数已识别的干预措施是在社区环境中实施(n = 22),以小组形式(n = 20),总持续时间在4至12周之间(n = 20),每次课程持续时间约45 - 60分钟(n = 13),且没有随访(n = 17)。大量干预措施侧重于提高人际关系能力(n = 15)和个人满意度(n = 13)。9项干预措施侧重于增强自主性,3项侧重于促进自我控制,2项侧重于解决问题/自我实现,1项侧重于促进亲社会态度。

结论

这项范围综述有助于提高所提供护理的质量并优化健康结果,通过增加积极心理健康领域的知识来加强社区健康促进。

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