自我效能理论在精神分裂症患者康复中的应用效果研究

蔡丽莉 陈佩儀

【摘要】 目的：探討自我效能理论在精神分裂症患者康复中的应用效果研究。方法：选取2017年6月-2018年10月接受治疗的70例精神分裂症患者作为研究对象，按随机数字表法分为对照组（n=35）与干预组（n=35）。对照组给予常规护理，干预组在常规护理基础上给予自我效能理论干预。干预2个月后，比较两组服药依从性、社会功能缺陷评分以及生活质量。结果：干预前，两组服药依从性比较，差异无统计学意义（P>0.05）;干预后，干预组服药依从性明显优于对照组（P<0.05）。干预前，两组各项社会功能评分比较，差异均无统计学意义（P>0.05）;干预后，干预组病房内活动、自理能力、对外界的关心和兴趣、责任心和社会性评分均高于对照组（P<0.05）。干预前，两组各项生活质量评分比较，差异无统计学意义（P>0.05）;干预后，干预组各项生活质量评分均高于对照组（P<0.05）。结论：将自我效能理论用于精神分裂症患者康复中干预效果显著，有利于提高精神病患者康复效果，提高患者服药依从性，改善社会功能缺陷，提高患者生活质量，值得推广应用。

【关键词】 自我效能理论 精神分裂症 服药依从性

[Abstract] Objective： To explore the application of self-efficacy theory in the rehabilitation of patients with schizophrenia. Method： A total of 70 patients with schizophrenia received treatment from June 2017 to October 2018 were selected as the study subjects. According to the random number table， they were divided into the control group （n=35） and the intervention group （n=35）. The control group was given routine nursing， and the intervention group was given self-efficacy theory intervention on the basis of routine nursing. After 2 months of intervention， medication compliance， social impairment score and quality of life were compared between the two groups. Result： Before intervention， there was no statistically significant difference in medication compliance between the two groups （P>0.05）. After intervention， the medication compliance in the intervention group was significantly better than that in the control group （P<0.05）. Before intervention， there was no significant difference in all social function scores between the two groups （P>0.05）. After intervention， the ward activity， self-care ability， care and interest to the outside world， sense of responsibility and social scores in the intervention group were all higher than those in the control group （P<0.05）. Before intervention， there was no significant difference in quality of life score between the two groups （P>0.05）. After intervention， all quality of life scores in the intervention group were higher than those in the control group （P<0.05）. Conclusion： The application of self-efficacy theory in the rehabilitation of patients with schizophrenia has significant intervention effect. It is beneficial to improve the rehabilitation effect， medication compliance， social dysfunction and the quality of life. It is worthy of popularization and application.

[Key words] Self-efficacy theory Schizophrenia Medication compliance

First-authors address： Guangzhou Civil Affairs Bureau Psychiatric Hospital， Guangzhou 510430， China