蔡麗莉 陳佩儀

【摘要】 目的：探討自我效能理論在精神分裂癥患者康復(fù)中的應(yīng)用效果研究。方法：選取2017年6月-2018年10月接受治療的70例精神分裂癥患者作為研究對(duì)象，按隨機(jī)數(shù)字表法分為對(duì)照組（n=35）與干預(yù)組（n=35）。對(duì)照組給予常規(guī)護(hù)理，干預(yù)組在常規(guī)護(hù)理基礎(chǔ)上給予自我效能理論干預(yù)。干預(yù)2個(gè)月后，比較兩組服藥依從性、社會(huì)功能缺陷評(píng)分以及生活質(zhì)量。結(jié)果：干預(yù)前，兩組服藥依從性比較，差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05）;干預(yù)后，干預(yù)組服藥依從性明顯優(yōu)于對(duì)照組（P<0.05）。干預(yù)前，兩組各項(xiàng)社會(huì)功能評(píng)分比較，差異均無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05）;干預(yù)后，干預(yù)組病房?jī)?nèi)活動(dòng)、自理能力、對(duì)外界的關(guān)心和興趣、責(zé)任心和社會(huì)性評(píng)分均高于對(duì)照組（P<0.05）。干預(yù)前，兩組各項(xiàng)生活質(zhì)量評(píng)分比較，差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05）;干預(yù)后，干預(yù)組各項(xiàng)生活質(zhì)量評(píng)分均高于對(duì)照組（P<0.05）。結(jié)論：將自我效能理論用于精神分裂癥患者康復(fù)中干預(yù)效果顯著，有利于提高精神病患者康復(fù)效果，提高患者服藥依從性，改善社會(huì)功能缺陷，提高患者生活質(zhì)量，值得推廣應(yīng)用。

【關(guān)鍵詞】 自我效能理論 精神分裂癥 服藥依從性

[Abstract] Objective： To explore the application of self-efficacy theory in the rehabilitation of patients with schizophrenia. Method： A total of 70 patients with schizophrenia received treatment from June 2017 to October 2018 were selected as the study subjects. According to the random number table， they were divided into the control group （n=35） and the intervention group （n=35）. The control group was given routine nursing， and the intervention group was given self-efficacy theory intervention on the basis of routine nursing. After 2 months of intervention， medication compliance， social impairment score and quality of life were compared between the two groups. Result： Before intervention， there was no statistically significant difference in medication compliance between the two groups （P>0.05）. After intervention， the medication compliance in the intervention group was significantly better than that in the control group （P<0.05）. Before intervention， there was no significant difference in all social function scores between the two groups （P>0.05）. After intervention， the ward activity， self-care ability， care and interest to the outside world， sense of responsibility and social scores in the intervention group were all higher than those in the control group （P<0.05）. Before intervention， there was no significant difference in quality of life score between the two groups （P>0.05）. After intervention， all quality of life scores in the intervention group were higher than those in the control group （P<0.05）. Conclusion： The application of self-efficacy theory in the rehabilitation of patients with schizophrenia has significant intervention effect. It is beneficial to improve the rehabilitation effect， medication compliance， social dysfunction and the quality of life. It is worthy of popularization and application.

[Key words] Self-efficacy theory Schizophrenia Medication compliance

First-authors address： Guangzhou Civil Affairs Bureau Psychiatric Hospital， Guangzhou 510430， China