中国临床心理学杂志

社会支持对精神分裂症患者生活质量和康复的影响

作者：陈琼妮¹ 刘莉² 张丹² 李君³ 李亚敏¹

单位：1. 中南大学湘雅二医院长沙 410011
2. 中南大学湘雅护理学院长沙 410013
3. 中南大学湘雅医院长沙 410008

分类号：R395.5

出版年,卷(期):页码：2016,24(1):185-187

摘要：

目的:了解精神分裂症患者的社会支持状况,探讨社会支持干预对精神分裂症患者生活质量及康复的影响。方法:选择2013年8月至2014年8月在湖南省脑科医院诊治的118例精神分裂症患者为研究对象,随机分为实验组(59例)和对照组(59例)。对照组给予传统心理护理。实验组除传统心理护理外,还给予"个体-团体-家属"模式的社会支持干预。采用社会支持量表、生活质量量表和简明精神病评定量表分别评价患者干预前后的社会支持状况、生活质量和康复情况。结果:实施社会支持干预后,实验组社会支持得分较干预前明显提高(P<0.05),生活质量得分和BPRS得分均较干预前明显降低。干预后实验组与对照组相比,除症状和副反应维度外,SQLS量表其他维度得分和BPRS得分差异均有统计学意义(P<0.05)。相关分析显示,干预后SQLS总均分与SSRS得分中的主观支持、客观支持和总得分均成负相关(P<0.04)。BPRS总得分与SSRS得分中的客观支持、支持利用度和总得分成负相关(P<0.05)。结论:社会支持干预能改善精神分裂症患者的社会支持状况,提高患者的生活质量并促进其康复。

Objective: To investigate the social support of patients with schizophrenia, and to explore its impact on quality of life and rehabilitation.Methods: 118 Patients with schizophrenia were included in our study during June 2012 Au-gust and 2013 August and were randomly allocated to experimental group and controlled group.Experimental group was given social support intervention("individual-group-family" mode), while controlled group was only given routine nursing.SSRS, SQLS, and BPRS were used to evaluate the social support, quality of life and rehabilitation of the patients.Results: After the intervention, patients receiving social support intervention showed greater improvement of SSRS score, SQLS score, and BPRS score from baseline compared with controlled group(P<0.05).There were significant differences between experimental and controlled group in SQLS score and BPRS score except dimensions of symptoms and side reactions after intervention(P<0.05).There was negative correlation between social support and SQLS score and BPRS score(P<0.05).Conclusion: Social support intervention could improve the social support of patients with schizophrenia, thus promote the quality of life and rehabilitation prognosis.

基金项目：

湖南省科技计划项目(项目编号:2014FJ3093);中南大学研究生自主探索创新项目(项目编号:2015ZZTS290)

作者简介：

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