正念减压联合日记式心理指导在中青年精神分裂症患者中的应用

摘要/Abstract

摘要： 目的探讨中青年精神分裂症（Schizophrenia,SP）患者应用正念减压联合日记式心理指导的干预效果。方法选取2022年4月—2023年7月聊城市第四人民医院收治的94例中青年SP患者作为研究对象,以随机数表法分成干预组和对照组,每组47例。对照组给予常规心理护理,干预组给予正念减压联合日记式心理指导,比较两组病耻感、心理弹性、自我管理能力及社会功能。结果干预后,两组患者病耻感量表中文版（SSMI-C）评分均下降,且干预组低于对照组,差异有统计学意义（P<0.05）。干预后,两组心理弹性量表（CD-RISC）评分均升高,且干预组高于对照组,差异有统计学意义（P<0.05）。干预后,两组SP自我管理量表（SSMIS）评分均升高,且干预组评分高于对照组,差异有统计学意义（P<0.05）。干预后,两组个人和社会功能量表（PSP）评分均升高,且干预组高于对照组,差异有统计学意义（P<0.05）。结论正念减压联合日记式心理指导应用于中青年SP患者中,能够减轻患者的病耻感,增强心理弹性,促进自我管理能力与社会功能提升。

关键词: 中青年, 精神分裂症, 正念减压, 日记式心理指导

Abstract: Objective To explore the intervention effect of mindfulness decompression and diary style psychological guidance in middle-aged and young SP patients. Methods A total of 94 middle-aged and young SP patients from April 2022 to July 2023 who were admitted in the Fourth People's Hospital of Liaocheng were selected, and randomly divided into the intervention group and control group with 47 patients in each group. The shame, psychological resilience, self-management ability, and social function in both groups were compared. Results After intervention, SSMI-C scores in both groups were decreased,and the intervention group was lower than the control group, and the difference was statistically significant (P<0.05). After intervention, CD-RISC scores in both groups were increased,and the intervention group was higher than the control group, and the difference was statistically significant (P<0.05).After intervention,SSMIS scores in both groups were increased,And the score of intervention group was higher than that of control group, which was significant (P<0.05). After intervention, PSP scores in both groups were increased ,And the intervention group was higher than the control group, and the difference was statistically significant (P<0.05). Conclusion The application of mindfulness decompression and diary style psychological guidance in middle-aged and young SP patients can reduce shame,enhance psychological resilience,and promote self-management ability and social function improvement.

Key words: middle-aged and young people, schizophrenia, mindfulness decompression, diary style psychological guidance

中图分类号:

R473.74

宋晓爽, 王雪, 刘方杰. 正念减压联合日记式心理指导在中青年精神分裂症患者中的应用[J]. 中华养生保健, 2024, 42(23): 107-111.

SONG Xiao-shuang, WANG Xue, LIU Fang-jie. Application of Mindfulness Decompression and Diary Style Psychological Guidance in Middle-aged and Young Patients With Schizophrenia[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(23): 107-111.

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