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目的:探讨社区封闭式团体训练对首发精神分裂症患者家庭关系与负面情绪的影响。方法:2014年1月~2015年1月期间经攀枝花市第三人民医院精神科病房治疗后病情稳定的186例精神分裂症患者,依据随机数字表法分为观察组和对照组,两组患者都接受开放性护理干预,其中观察组在此基础上进行社区封闭式团体训练,比较两组患者家庭关系和负面情绪变化。结果:两组患者干预后家庭关怀度指数量表评分、汉密尔顿抑郁量表评分明显改善(P<0.05),但观察组改善程度更为明显(P<0.05);两组患者社会功能评定量表评分、阳性和阴性症状量表评分显著下降(P<0.05),生活技能评价表评分、生活质量综合评定问卷评分明显升高(P<0.05),但观察组变化幅度更为显著(P<0.05)。结论:社区封闭式团体训练能够有效改善首发精神分裂症患者社会功能,有助于改善患者家庭关系和负面情绪,促进患者康复。
Objective: To explore the effect of closed community training on family relationship and negative emotions in first-episode schizophrenia. Methods: A total of 186 schizophrenic patients who were stable after psychiatric ward of the Third People’s Hospital of Panzhihua City from January 2014 to January 2015 were divided into observation group and control group according to random number table. Two groups of patients All received open nursing intervention. On the basis of this, the observation group conducted community-based closed-group training and compared the changes of family relationships and negative emotions in the two groups. Results: After the intervention, the scores of Family Care Index Scale and Hamilton Depression Rating Scale were significantly improved (P <0.05), but the improvement rate of the observation group was more obvious (P <0.05). The Social Function Rating Scale (P <0.05). The score of life skills assessment and quality of life questionnaire were significantly higher (P <0.05), but the changes in observation group were more significant (P <0.05) ). Conclusions: Community-based group training can effectively improve the social function of patients with first-episode schizophrenia, improve family relationships and negative emotions, and promote patient rehabilitation.