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目的探讨依从性干预护理模式对于精神分裂症(SCH)患者病耻感及自尊的影响。方法选择恢复期SCH患者120例随机分为实验组与对照组,各60例。对照组予以常规护理模式,实验组予以依从性干预护理模式。护理前及护理2个月后,采用精神疾病病耻感量表(SSMI-C)、罗森伯格自尊量表(SES)、总体幸福感量表(GWB)、自知力与治疗态度问卷(ITAQ)、服药依从性及个人社会功能量表(PSP)进行评价和比较。结果干预2个月后,实验组的SES、GWB、ITAQ及PSP评分显著高于治疗前及对照组(P<0.05),SSMI-C量表各维度评分显著低于对照组(P<0.05),服药依从性显著高于对照组(P<0.05)。结论依从性干预护理模式有利于提高SCH患者的服药依从性,改善其病耻感、自尊及幸福感,对于改善社会功能具有积极作用。
Objective To explore the impact of compliance intervention nursing model on the stigma and self-esteem of schizophrenia patients. Methods 120 patients with convalescent SCH were randomly divided into experimental group and control group, 60 cases each. The control group was given routine nursing mode, and the experimental group was given the intervention nursing mode. Before treatment and 2 months after nursing, the questionnaire of mental illness disgrace scale (SSMI-C), Rosenberg’s self-esteem scale (SES), overall well-being scale (GWB) (ITAQ), medication compliance and personal social function scale (PSP) were evaluated and compared. Results After two months of intervention, the scores of SES, GWB, ITAQ and PSP in the experimental group were significantly higher than those before treatment and in the control group (P <0.05). The scores of SSMI-C in each dimension were significantly lower than those in the control group (P <0.05) , Medication compliance was significantly higher than the control group (P <0.05). Conclusions The mode of compliance nursing intervention is helpful to improve the medication compliance of patients with SCH and improve their sense of shame, self-esteem and happiness, and play an active role in improving social function.