【摘要】 目的:探讨以自我管理为中心的团体教育干预对精神分裂症患者自理、幸福度及自尊的影响。方法:将112例精神分裂症患者随机均分为观察组和对照组,在两组均使用适量的抗精神病药物治疗及一般健康教育的基础上,仅对观察组进行以自我管理为中心的团体教育干预。在干预前及出院1年后采用自理行为问卷(SCBQ)、总体幸福感量表(GWB)、自尊量表(SES)、社会功能缺陷筛选量表(SDSS)对两组患者进行干预前后康复状态的评估。结果:干预后观察组患者SCBQ、GWB、SES评分显著提高,而SDSS评分均显著降低,与对照组相比差异具有统计学意义,P<0.01。结论:以自我管理为中心的团体教育干预能明显提高患者的自理水平,改善其社会功能及幸福度,且自尊程度显著提高,是促进精神分裂症患者康复的有效途径。更多还原

【Abstract】 Objective: To investigate the effect of self-management-centered group education on self-care, well-being and self-esteem in patients with schizophrenia. Methods: One hundred and twelve schizophrenic patients were randomly assigned to observation group and control group. All patients in two groups received routine antipsychotic medication treatment and general education. But patients in observation group also received selfmanagement-centered group education. The patients’ rehabilitation status were evaluated at the beginning of study and one year after discharging from hospital by Self-Care Behavior Questionnaire (SCBQ), General Well-Being Schedule (GWB), Self-Esteem Scale (SES) and Social Disability Screening Schedule (SDSS). Results: Compared with those in control group, the patients in observation group have statistically significant higher scores in SCBQ, GWB and SES, and lower scores in SDSS (P<0.01). Conclusion: Group education could obviously improve patients’ self-care, social function and self-esteem levels. It might be an effective way to promote schizophrenic patients’ rehabilitation.更多还原