| 卢柳,刘冬梅,林俊,虞健容,赵红梅,刘健华,黄青蓝,高茹.基于赋能教育的家庭访视对居家康复精神分裂症患者精神病性症状、自我管理能力及幸福感的影响[J].四川精神卫生杂志,2022,35(5):429-433.Lu Liu,Liu Dongmei,Lin Jun,Yu Jianrong,Zhao Hongmei,Liu Jianhua,Huang Qinglan,Gao Ru,Effect of home visit based on empowerment education on psychotic symptoms， self-management ability and well-being of schizophrenia patients in home rehabilitation[J].SICHUAN MENTAL HEALTH,2022,35(5):429-433 |
| 基于赋能教育的家庭访视对居家康复精神分裂症患者精神病性症状、自我管理能力及幸福感的影响 |
| Effect of home visit based on empowerment education on psychotic symptoms， self-management ability and well-being of schizophrenia patients in home rehabilitation |
| 投稿时间：2022-05-24 |
| DOI：10.11886/scjsws20220524002 |
| 中文关键词: 赋能教育 家庭访视 居家康复 精神分裂症 精神病性症状 自我管理能力 幸福感 |
| 英文关键词:Empowerment education Family visits Home rehabilitation Schizophrenia Psychotic symptoms Self- management ability Happiness |
| 基金项目:宜宾市卫生健康委员会资助课题（项目名称：基于赋能教育的家庭访视对居家康复精神分裂症患者幸福感指数的影响，项目编号：2020yw082） |
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| 中文摘要: |
| 目的 探讨基于赋能教育的家庭访视对居家康复精神分裂症患者精神病性症状、自我管理能力及幸福感的影响。方法 采用简单随机抽样法，于2021年1月-7月选取在宜宾市菜坝镇区域管理、符合《国际疾病分类（第10版）》（ICD-10）诊断标准、正在居家康复的精神分裂症患者87例为研究对象，按照随机数字表法分为试验组（n=43）和对照组（n=44）。两组均接受常规家庭访视，试验组在此基础上接受基于赋能教育的家庭访视，两组干预周期均为6个月。分别在干预前和干预后，采用简明精神病评定量表（BPRS）、精神分裂症患者自我管理量表（SSMIS）和幸福感指数量表（IWB）评定两组患者的精神病性症状严重程度、自我管理能力和幸福感。结果 干预后，组内比较显示，试验组BPRS评分低于干预前（t=4.550，P<0.01），两组SSMIS评分均高于干预前（t=-17.107、-6.367，P均<0.01），试验组IWB评分高于干预前（t=-9.239，P<0.01）；组间比较显示，试验组BPRS评分低于对照组，SSMIS和IWB评分均高于对照组（t=-3.899、10.564、9.690，P均<0.01）。结论 基于赋能教育的家庭访视可能有助于改善居家康复精神分裂症患者的精神病性症状，提高其自我管理能力及幸福感。 |
| 英文摘要: |
| Objective To explore the effect of home visit based on empowerment education on psychotic symptoms， self-management ability and well-being of schizophrenia patients in home rehabilitation.Methods A total of 87 cases of schizophrenia patients who met the diagnostic criteria of International Classification of Diseases， tenth edition （ICD-10） and were recovering at home in Caiba town， Yibin city from January to July 2021 were selected by random sampling method as research subjects. They were divided into experimental group （n=43） and control group （n=44） according to the random number table method. The two groups received routine family visits， and the experimental group received family visits based on empowerment education. The intervention cycle of the two groups was 6 months. Before and after the intervention， the severity of psychotic symptoms， self-management ability and well-being of the patients in the two groups were assessed with the Brief Psychiatric Rating Scale （BPRS）， the Schizophrenia Self-Management Instrument Scale （SSMIS） and the Index of Well-Being Scale （IWB）.Results After intervention， the intra group comparison showed that the BPRS score in the experimental group was lower than that before the intervention （t=4.550， P<0.01）， the SSMIS scores in both groups were higher than those before intervention （t=-17.107， -6.367， P<0.01）， and the IWB score in the experimental group was higher than that before intervention （t=-9.239， P<0.01）. The comparison between groups showed that the BPRS score of the experimental group was lower than that of the control group， and the SSMIS and IWB scores were higher than those of the control group （t=-3.899， 10.564， 9.690， P<0.01）.Conclusion The implementation of family visit based on empowerment education may help to improve the psychotic symptoms of home rehabilitation schizophrenia， and improve their self-management ability and well-being. |
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