李少梅　李丽华　王婉文

【摘要】 目的：研究首发精神分裂症患者采用自我管理训练的临床效果。方法：选取2017年1月-2019年12月笔者所在医院接收的100例首發精神分裂症患者，按照就诊先后顺序分为观察组（住院时行自我管理训练）与对照组（常规治疗护理），各50例，比较两组治疗与护理效果。结果：训练前两组生活质量、精神状态及社会功能比较差异无统计学意义（P>0.05），训练后观察组生活质量评分高于对照组，精神状态、社会功能评分均低于对照组，差异均有统计学意义（P<0.05）。观察组护理依从率及护理满意度均高于对照组，差异均有统计学意义（P<0.05）。结论：自我管理训练能提高首发精神分裂症患者整体疗效、稳定病情。

【关键词】 首发精神分裂症 自我管理训练 生活质量 护理依从性

doi：10.14033/j.cnki.cfmr.2020.18.045 文献标识码 B 文章编号 1674-6805（2020）18-0-03

Clinical Effect of Self-management Training in First-episode Schizophrenic Patients/LI Shaomei， LI Lihua， WANG Wanwen. //Chinese and Foreign Medical Research， 2020， 18（18）： -108

[Abstract] Objective： To study the clinical effect of self-management training in patients with first-episode schizophrenia. Method： A total of 100 patients with first-episode schizophrenia admitted to our hospital from January 2017 to December 2019 were selected， the patients were divided into the observation group （self-management training during hospitalization） and the control group （routine treatment and nursing） according to the sequence of medical treatment， with 50 cases each. The effects of treatment and nursing were compared between the two groups. Result： There was no statistically significant difference in quality of life， mental state and social function between the two groups before the training （P>0.05）. After the training， the score of life quality in the observation group was higher than that in the control group， while the scores of mental state and social function in the observation group was lower than that in the control group， the differences were statistically significant （P<0.05）. Conclusion： Self-management training can improve the overall efficacy and stability of patients with first-episode schizophrenia.

[Key words] First-episode schizophrenia Self-management training Quality of life Nursing compliance

First-authors address： The Third Peoples Hospital of Panyu District in Guangzhou City， Guangzhou 511483， China

目前临床常见的慢性精神疾病是精神分裂症，具有较高发病率、致残率及复发率，据不完全统计，本病在我国的发病率在1.4%～4.6%，发病机制尚不明确，可能与遗传、性格及环境等因素有关，患病后患者有情感、行为及感知等异常现象，未接受及时治疗严重影响日常生活[1]。部分研究结果表明，抗精神病药物治疗该病症患者能提高疗效，其能预防疾病复发、恶化，达到稳定病情的目的，但患者缺乏一定的用药知识，导致用药依从性较差[2]。因此探寻经济、有效及可行的治疗护理方法逐渐成为医学界的研究热点。陆沈艳等[3]认为，常规治疗护理的重点在于控制病情进展、膳食指导及睡眠干预等方面，自我管理训练是通过培养和完善患者的认知及社会功能，提高患者对自身健康和疾病相关症状的监控能力及自我管理疾病的能力。基于……