【摘要】 目的 围绕精神分裂症患者，采用暴力高危因素预见性护理与积极心理护理相联合的方案来实施干预，评定其在改善患者病耻感、攻击行为当中所起到的作用。方法 选取收治于本院的精神分裂症患者（时间：2021年1月～2022年12月，例数：73例），对其展开分组（方法：随机数字表法，分组数：2组），对照组37例采用的是常规护理手段，观察组36例以此为基础，施以暴力高危因素预见性护理联合积极心理干预，就两组病耻感[病耻感量表（SSMI-C）]、攻击行为[外显攻击行为量表（MOAS）]进行比较，另对比两组自尊心[自尊量表（SES）]与暴力行为发生情况。正态计量资料采用t检验，计数资料采用x2检验。结果 与对照组干预3个月相比，观察组SSMI-C、MOAS评分均更低（P<0.05），而SES评分更高（P<0.05）。在暴力行为发生率上，观察组（2.78%）较对照组（21.62%）低（P<0.05）。结论 针对确诊的精神分裂症患者，采取积极心理联合暴力高危因素预见性护理干预，能改善其病耻感与攻击行为，提高自尊心，减少暴力行为的发生。更多还原

【Abstract】 Objective To implement a combined intervention plan of predictive care for high-risk factors of violence and positive psychological care for schizophrenia patients, and evaluate their role in improving their sense of shame and aggressive behavior. Methods Patients with schizophrenia admitted to our hospital(time: January 2021 ～ December 2022, number of cases: 73) were selected and divided into groups(method: random number table method, number of groups: 2 groups), 37 cases in the control group were treated with conventional nursing methods, and 36 cases in the observation group were treated with predictive nursing of high risk factors of violence plus positive psychological intervention based on this, and the stigma [stigma scale for mental illness(SSMI-C)] and aggressive behavior [modified overt aggression scale(MOAS)] of the two groups were compared. Self-esteem [ self-esteem scale(SES) ] and the incidence of violent behavior were compared between the two groups. Normal measurement data were tested by t test, count data were tested by x2. Results By comparing with the control group(with an intervention period of 3 months), it was found that the observation group had significantly lower SSMI-C scores and MOAS scores(P<0.05), while the SES score was significantly higher(P<0.05). In terms of the corresponding incidence of violent behavior, the observation group was 2.78%, which was significantly lower than the control group(21.62%)(P<0.05). Conclusion For diagnosed schizophrenic patients, using positive psychology and predictive nursing intervention of high risk factors of violence can improve their stigma and aggressive behavior, improve self-esteem and reduce the occurrence of violent behavior.更多还原