Effect of comprehensive psychological interventions on social functions and quality of life of patients with the first-episode schizophrenia
10.3760/j.issn.1674-2907.2014.19.017
- VernacularTitle:综合心理行为干预对首发精神分裂症患者康复效果的影响
- Author:
Zhilou XU
1
;
Xiaozhi DAI
;
Sujuan ZHANG
Author Information
1. 325007 温州康宁医院精神科
- Keywords:
Comprehensive psychological intervention;
First-episode schizophrenia;
Social function;
Quality of life;
Nursing
- From:
Chinese Journal of Modern Nursing
2014;20(19):2355-2359
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of comprehensive nursing interventions on social functions and quality of life of first-episode schizophrenic patients .Methods Sixty patients with first-episode schizophrenia were randomly divided into intervention group and control group (30 patients for each group).All patients were treated with risperidone and basic psychiatric nursing care .Besides, the intervention group was given comprehensive nursing interventions additionally .Positive and Negative Symptoms Scale ( PANSS ) was used to evaluate the efficacy; Social Disability Screening Schedule ( SDSS ) was used to evaluate the social functions;Satisfaction with Life Scale ( SWLS) was used to evaluate the quality of life and Global Assessment Scale(GAS) was used to evaluate the general condition .PANSS, SDSS, SWLS and GAS were used to survey all the patients before and at the 6th, 12th and 18th week after the nursing interventions .Results At the end of 6th, 12th and 18th week after the nursing interventions, the total score of the PANSS was (17.90 ±4.20), including positive symptoms score of (8.67 ±2.77) and negative symptoms score of (9.30 ±2.78).The general mental state score was (20.80 ±4.25).The differences between groups were significant (t=7.74, 5.32, 5.90, 3.72, respectively;P<0.01).The scores of SDSS, SWLS, BPRS and GAS for the intervention group were (13.80 ±3.99),(15.43 ±4.01),(22.63 ±4.15) and (78.00 ±14.42), which were significantly lower than those in the control group (t=4.85, 7.41, 5.77, 6.83, respectively;P<0.01).Conclusions Comprehensive nursing interventions can not only help patients improve psychiatric symptoms , but also improve the social functions and the quality of life of the patients with first-episode schizophrenia .
