銆€銆€銆愯珫鏂囨憳瑕併€� 鐩殑 鎺㈣◣蹇冪悊骞查爯(y霉)灏�(du矛)搴峰京(f霉)鏈熺簿绁炲垎瑁傜櫏鎮ｈ€呭績鐞嗗仴搴风媭娉佺殑褰遍熆(1)銆� 鏂规硶 灏�(du矛)52渚嬪悍寰�(f霉)鏈熺簿绁炲垎瑁傜櫏鎮ｈ€呭湪甯歌(gu墨)钘ョ墿娌荤檪鍜岃(h霉)鐞嗙殑鍩虹(ch菙)涓婇€�(j矛n)琛屽績鐞嗗共闋�(y霉)锛岃瀵�6 w銆傚績鐞嗗共闋�(y霉)鍓嶅強骞查爯(y霉)6 w鏈噰鐢ㄧ櫏鐙€鑷⿻(p铆ng)閲忚〃瑭�(p铆ng)瀹氭偅鑰呯殑蹇冪悊鍋ュ悍鐙€娉�锛屽苟鑸囧湅(gu贸)鍏�(n猫i)鎴愪汉甯告ā閫�(j矛n)琛屽皪(du矛)姣斿垎鏋�銆� 绲�(ji茅)鏋� 搴峰京(f霉)鏈熺簿绁炲垎瑁傜櫏鎮ｈ€呭績鐞嗗共闋�(y霉)鍓嶇櫏鐙€鑷⿻(p铆ng)閲忚〃鍚勫洜瀛愬垎鍧囬’钁楅珮浜庡湅(gu贸)鍏�(n猫i)鎴愪汉甯告ā(P<0.01);蹇冪悊骞查爯(y霉)6 w鏈櫎鍋忓煼(zh铆)鍥犲瓙鍒嗙劇(w煤)椤憲璁婂寲澶�锛屽叾浠栧悇鍥犲瓙鍒嗗潎杓冨績鐞嗗共闋�(y霉)鍓嶆湁椤憲鎬т笅闄�(P<0.01锝�0.05)锛岃垏鍦�(gu贸)鍏�(n猫i)鎴愪汉甯告ā姣旇純锛岄櫎鎭愭€栧洜瀛愬垎鏈夐’钁楁€у樊鐣�(P<0.05)澶�锛屽叾浠栧悇鍥犲瓙鍒嗗潎鐒�(w煤)椤憲鎬у樊鐣�(P>0.05)銆� 绲�(ji茅)璜� 蹇冪悊骞查爯(y霉)鑳介’钁楁敼鍠勭簿绁炲垎瑁傜櫏鎮ｈ€呯殑蹇冪悊鍋ュ悍鐙€娉�锛屾彁楂樺叾浜洪殯浜ゅ線鑳藉姏鍜岀敓娲昏唱(zh矛)閲�銆�

銆€銆€銆愯珫鏂囬棞(gu膩n)閸佃銆� 绮剧鍒嗚鐧� 搴峰京(f霉)鏈� 蹇冪悊骞查爯(y霉) 蹇冪悊鍋ュ悍

銆€銆€Abstract銆� Objective To explore the effects of mental intervention on mental health status of convalescence scizophrenics. Methods 52 convalescence scizophrenics receiving routine pharmacotherapy and nursing were plus mental intervention for 6 weeks. Mental health status was assessed with the Symptom Checklist?90(SCL?90) before and after 6 week intervention and compared with internal adult norm. Results Before intervention锛� all factors鈥� scores of the SCL?90 were significantly higher in convalescence scizophrenics compared with norm(P<0.01); after 6 week intervention锛� except paranoia锛� other factors鈥� scores lowered more significantly compared with pre?intervention(P<0.01锝�0.05); compared with internal norm锛� there was significant difference in phobia(P<0.05) and no in other factors(P>0.05).Conclusion Convalescence scizophrenics have many psycho?problems锛� mental intervention can obviously improve patients鈥� mental health status锛� ability of interpersonal communication and quality of life.

銆€銆€Keywords銆� Schizophrenia; convalescence; mental intervention; mental health

銆€銆€绮剧鍒嗚鐧ユ偅鑰呭湪绮剧鐧ョ媭閫愭几绶╄В鎴栨秷澶�銆佽嚜鐭ュ姏閫愭寤虹珛鐨勫悍寰�(f霉)閬�(gu貌)绋嬩腑寰€寰€鏈�(hu矛)鍑虹従(xi脿n)璜稿鐨勫績鐞嗗晱(w猫n)椤孾1]銆傜偤浜嗕績閫�(j矛n)搴峰京(f霉)鏈熺簿绁炲垎瑁傜櫏鎮ｈ€呯殑蹇冪悊搴峰京(f霉)锛屾垜鍊戝皪(du矛)搴峰京(f霉)鏈熺簿绁炲垎瑁傜櫏鎮ｈ€呴€�(j矛n)琛屼簡蹇冪悊骞查爯(y霉)锛岀従(xi脿n)灏囩祼(ji茅)鏋滃牨(b脿o)閬撳涓�銆�

銆€銆€1 灏�(du矛)璞¤垏鏂规硶

銆€銆€1.1 灏�(du矛)璞�

銆€銆€閬稿彇2006骞�10鏈堬綖2007骞�3鏈堝湪鎴戦櫌浣忛櫌鐨勫悍寰�(f霉)鏈熺簿绁炲垎瑁傜櫏鎮ｈ€呯偤鐮旂┒灏�(du矛)璞°€傚叆绲勬(bi膩o)婧�(zh菙n)锛�(1)绗﹀悎銆婁腑鍦�(gu贸)绮剧闅滅鍒嗛鑸囪ê鏂锋(bi膩o)婧�(zh菙n)銆嬬3 鐗�(CCMD?3)[2]绮剧鍒嗚鐧ヨê鏂锋(bi膩o)婧�(zh菙n)銆�(2)绮剧鐧ョ媭绶╄В鎴栨秷澶�锛岃嚜鐭ュ姏鎭㈠京(f霉)鎴栭儴鍒嗘仮寰�(f霉)锛岀梾鎯呭熀鏈┅(w臎n)瀹�銆�(3)鍒濅腑鍙婁互涓婃枃鍖栫▼搴�銆�(4)鎺掗櫎鑵﹀櫒璩�(zh矛)鎬у強鍏朵粬杌€楂旂柧鐥�銆傚叡鍏ョ祫52渚�銆傚叾涓敺24渚�锛屽コ28渚�;骞撮健19 a锝�58 a锛屽钩鍧�(31卤12.3) a銆�

銆€銆€1.2 鏂规硶

銆€銆€1.2.1 蹇冪悊骞查爯(y霉)鏂规硶

銆€銆€灏�(du矛)鍏ョ祫鐨�52渚嬫偅鑰呭湪甯歌(gu墨)钘ョ墿娌荤檪鍜岃(h霉)鐞嗙殑鍩虹(ch菙)涓婇€�(j矛n)琛屽績鐞嗗共闋�(y霉)銆�(1)鏀寔鎬у績鐞嗘不鐧傦細鍖呮嫭闆嗛珨蹇冪悊娌荤檪鍜屽€�(g猫)楂斿績鐞嗘不鐧�銆傞泦楂斿績鐞嗘不鐧傦細灏�(du矛)鍏ョ祫鎮ｈ€呴€�(j矛n)琛岄泦楂斿拰灏忕祫蹇冪悊杓斿皫(d菐o)锛岃瑳瑙ｅ浣曟秷闄よ嚜鍗戙€佹ü(sh霉)绔嬭嚜淇�銆侀潰灏�(du矛)澹撳姏鍜屾尗鎶�銆侀仼鎳�(y墨ng)瀹跺涵鐢熸椿鍜屽伐浣滀互鍙婂績鐞嗚(w猫i)鐢熷仴搴风煡璀�(sh铆)绛�銆傜祫绻旀偅鑰呰◣璜�锛屽厖鍒嗙櫦(f膩)鎻皬绲勬敮鎸佹€у績鐞嗘不鐧傜殑浣滅敤锛屼娇鎮ｈ€呬繚鎸佽壇濂界殑鎯呯窉鐙€鎱�(t脿i)銆傚€�(g猫)楂斿績鐞嗘不鐧傦細浠ヨ€愬績銆佺啽鎯�銆佺簿婀涚啛绶寸殑閱�(y墨)璀�(h霉)璩�(zh矛)閲忎娇鎮ｈ€呯嵅鍙栦俊浠昏垏瀹夊叏鎰�锛屽缓绔嬭壇濂界殑璀�(h霉)鎮ｉ棞(gu膩n)绯�锛屽公鍔╂偅鑰呰獚(r猫n)璀�(sh铆)鍟�(w猫n)椤�锛屾秷闄ょ枒鎱�锛屾敼鍠勫績澧�;鍚屾檪(sh铆)鎸囧皫(d菐o)鎮ｈ€呭灞湪鍚勬柟闈㈤棞(gu膩n)蹇�銆佹敮鎸�銆佸公鍔╂偅鑰�锛岀郸鎮ｈ€呬互婧殩鍙婂媷姘�锛屽缓绔嬭捣鑹ソ鐨勫搴敮鎸佺郴绲�(t菕ng)銆�(2)鏀炬澗瑷�(x霉n)绶达細渚濇灏�(du矛)韬珨鍚勯儴鍒嗚倢鑲夊厛鏀剁穵鍐嶆斁鏉�銆傞鍏堝緸闆欐墜闁�(k膩i)濮�锛屽惛姘ｆ檪(sh铆)閫愭几鎻＄穵鎷抽牠(绱�5 s)锛屽悙姘ｆ檪(sh铆)绶╃珐鏀炬澗(绱�15 s)锛屽€熸鍙劅鍙楀埌绶婂嫉鑸囨斁鏉剧殑鎰熻(ju茅)锛屼篃鍙帰娓�(c猫)鍑鸿韩楂斿悇閮ㄤ綅鐨勭穵寮碉紝鐒跺悗鐢ㄩ浼兼柟娉曞緸鍓嶈噦銆佷笂鑷�銆佽噳閮ㄣ€侀牳閮�銆佽偐閮�銆佽兏閮ㄣ€佽吂閮�銆佸ぇ鑵�銆佸皬鑵跨瓑閮ㄤ綅鑲岃倝閫愭鏀炬澗瑷�(x霉n)绶达紝鏁村€�(g猫)閬�(gu貌)绋嬭垏鍛煎惛瀵嗗垏閰嶅悎銆備竴鑸瘡娆￠噸寰�(f霉)瑷�(x霉n)绶�30 min銆傚績鐞嗗共闋�(y霉)鍦ㄧ1娆″績鐞嗘脯(c猫)鏌ヤ箣鍚庡嵆闁�(k膩i)濮�锛屽埄鐢ㄦ瘡澶╃殑鏌ユ埧銆佹鏌ョ瓑姗�(j墨)鏈�(hu矛)闅ㄦ檪(sh铆)閫�(j矛n)琛�銆傚叡瑙€瀵�6 w銆�

銆€銆€1.2.2 蹇冪悊鍋ュ悍鐙€娉佽⿻(p铆ng)瀹�

銆€銆€蹇冪悊骞查爯(y霉)鍓嶅強骞查爯(y霉)6 w鏈噰鐢ㄧ櫏鐙€鑷⿻(p铆ng)閲忚〃(SCL?90)[3]瑭�(p铆ng)瀹氭偅鑰呯殑蹇冪悊鍋ュ悍鐙€娉�銆係CL?90鍏�90鍊�(g猫)姊濈洰锛屽寘鎷粈楂斿寲銆佸挤(qi谩ng)杩�銆佷汉闅涢棞(gu膩n)绯�銆佹姂閮併€佺劍鎱�銆佹暤灏�(du矛)銆佹亹鎬�銆佸亸鍩�(zh铆)銆佺簿绁炵梾鎬�9鍊�(g猫)鍥犲瓙銆傚垽瀹氭(bi膩o)婧�(zh菙n)锛歋CL?90瑾�(di脿o)鏌ユ寜5绱�(j铆)瑷樺垎锛�1锝�5鍒嗗垎鍒ヨ〃绀虹劇(w煤)鐧ョ媭銆佽紩搴︺€佷腑搴�銆佸毚(y谩n)閲嶃€侀潪甯稿毚(y谩n)閲�锛岀附鍧囧垎鈮�2鍒嗚〃绀烘湁涓嶈壇蹇冪悊鍙嶆噳(y墨ng)銆傝姹傚湪绲�(t菕ng)涓€鎸囧皫(d菐o)瑾�(y菙)鎸囧皫(d菐o)涓�锛屽皪(du矛)閲忚〃姣忓€�(g猫)闋�(xi脿ng)鐩牴鎿�(j霉)鎮ｈ€呯殑瀵�(sh铆)闅涙儏娉佷綔鍑虹崹(d煤)绔嬭⿻(p铆ng)瀹�锛屽皣娓�(c猫)瑭︾祼(ji茅)鏋滆垏鍦�(gu贸)鍏�(n猫i)鎴愪汉甯告ā[4]閫�(j矛n)琛屽皪(du矛)姣斿垎鏋愩€�

銆€銆€1.2.3 绲�(t菕ng)瑷�(j矛)鏂规硶

銆€銆€鎵€鏈夋暩(sh霉)鎿�(j霉)鎳�(y墨ng)鐢⊿PSS10.0绲�(t菕ng)瑷�(j矛)杌熶欢铏曠悊锛岃▓(j矛)閲忚硣鏂欐瘮杓冮噰鐢╰妾㈤(y脿n)銆�

銆€銆€2 绲�(ji茅)鏋�

銆€銆€搴峰京(f霉)鏈熺簿绁炲垎瑁傜櫏鎮ｈ€呭績鐞嗗共闋�(y霉)鍓嶅悗SCL?90瑭�(p铆ng)鍒嗚垏鍦�(gu贸)鍏�(n猫i)鎴愪汉甯告ā姣旇純绲�(ji茅)鏋�锛岃(ji脿n)琛�1銆傝〃1 蹇冪悊骞查爯(y霉)鍓嶅悗鎮ｈ€匰CL?90瑭�(p铆ng)鍒�(鐣�)娉細t1骞查爯(y霉)鍓嶈垏骞查爯(y霉)鍚庢瘮杓�锛宼2骞查爯(y霉)鍓嶈垏甯告ā姣旇純锛宼3骞查爯(y霉)鍚庤垏甯告ā姣旇純锛�*P<0.05锛�**P<0.01銆�

銆€銆€琛�1椤ず锛屽悍寰�(f霉)鏈熺簿绁炲垎瑁傜櫏鎮ｈ€呭績鐞嗗共闋�(y霉)鍓峉CL?90鍚勫洜瀛愬垎鍧囬’钁楅珮浜庡湅(gu贸)鍏�(n猫i)鎴愪汉甯告ā(P<0.01);蹇冪悊骞查爯(y霉)6 w鏈櫎鍋忓煼(zh铆)鍥犲瓙鍒嗙劇(w煤)椤憲璁婂寲澶�锛屽叾浠栧悇鍥犲瓙鍒嗗潎杓冨績鐞嗗共闋�(y霉)鍓嶆湁椤憲鎬т笅闄�(P<0.01锝�0.05)锛岃垏鍦�(gu贸)鍏�(n猫i)鎴愪汉甯告ā姣旇純锛岄櫎鎭愭€栧洜瀛愬垎鏈夐’钁楁€у樊鐣�(P<0.05)澶�锛屽叾浠栧悇鍥犲瓙鍒嗗潎鐒�(w煤)椤憲鎬у樊鐣�(P>0.05)銆�

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銆€銆€[1]鐜嬪杽婢�.瀵�(sh铆)鐢ㄥ悍寰�(f霉)绮剧閱�(y墨)瀛�(xu茅)[M].闀�(zh菐ng)娌欙細婀栧崡绉戝(xu茅)鎶€琛�(sh霉)鍑虹増绀撅紝1997锛�314锝�315

銆€銆€[2]涓彲閱�(y墨)瀛�(xu茅)鏈�(hu矛)绮剧绉戝垎鏈�(hu矛).涓湅(gu贸)绮剧闅滅鍒嗛鑸囪ê鏂锋(bi膩o)婧�(zh菙n)[M].绗�3鐗�.婵�(j矛)鍗楋細灞辨澅绉戝(xu茅)鎶€琛�(sh霉)鍑虹増绀�锛�2001锛�75锝�78

銆€銆€[3]姹悜鏉�锛岀帇甯屾灄锛岄Μ寮�锛岀瓑.蹇冪悊琛�(w猫i)鐢熻⿻(p铆ng)瀹氶噺琛╗M].淇▊鐗�.鍖椾含锛氫腑鍦�(gu贸)蹇冪悊琛�(w猫i)鐢熼洔蹇楃ぞ锛�1999锛�115锝�220

銆€銆€[4]閲戣彲锛屽惓鏂囨簮锛屽嫉鏄庡湌.涓湅(gu贸)姝ｅ父鎴愪汉SCL?90瑭�(p铆ng)瀹氱祼(ji茅)鏋滅殑鍒濇鍒嗘瀽[J].涓湅(gu贸)绁炵稉(j墨ng)绮剧鐤剧梾闆滃織锛�1986锛�12(5)锛�260

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銆€銆€[6]璩存枃鐞�锛屽嫉绋嬭瑦.鍋ュ悍鏁欒偛灏�(du矛)鎭㈠京(f霉)鏈熺簿绁炲垎瑁傜櫏鎮ｈ€呴爯(y霉)鍚庣殑褰遍熆[J].鑷ㄥ簥蹇冭韩鐤剧梾闆滃織锛�2006锛�12(3)锛�173

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