Influence of narrative nursing on mental state of schizophrenic patients in convalescence
叙事护理对康复期精神分裂症患者心理状态的影响

摘要

目的 探析精神分裂症（schizophrenia，SCZ）康复期患者行叙事护理的价值。方法 取我院2023年8月~2024年4月74例SCZ康复期患者，纳入标准：74例患者均符合诊断疾病标准；大部分自知力恢复，智力正常。排除标准：认知障碍；伴自杀、自残行为，程度严重；30 d内行电休克治疗者。以随机数值大小为依据排序，前37例划入对照组，后37例划入观察组，两组分别行常规护理、常规护理+叙事护理，组间影响分析。结果 干预前，组间数值（P>0.05），干预后，观察组HAMA、HAMD评分较对照组更优（P<0.05）。结论 SCZ康复期患者行叙事护理所获效用显著，利于改善心理状态可推行。

Abstract

Objective To explore the value of practicing narrative nursing for patients recovering from schizophrenia (SCZ).
Methods 74 patients with SCZ during the convalescence period from August 2023 to April 2024 were selected from our hospital. The inclusion criteria were as follows: All 74 patients met the diagnostic criteria; Most of his self-awareness is restored, and his intelligence is normal. Exclusion criteria: cognitive impairment; Accompanied by suicide, self-harm behavior, the degree of serious; Patients receiving electroconvulsive therapy within 30 days. According to the random value, the first 37 cases were divided into the control group, and the last 37 cases were divided into the observation group. The two groups received routine nursing, routine nursing + narrative nursing, respectively, and the influence between groups was analyzed.
Results Before intervention, the inter-group values were higher (P > 0.05). After intervention, HAMA and HAMD scores in the observation group were better than those in the control group (P < 0.05).
Conclusion   Narrative nursing in patients with SCZ during rehabilitation has a significant effect, which is conducive to improving psychological state and can be implemented.