本文選題：精神分裂癥 + 團(tuán)體輔導(dǎo)　； 參考：《山西醫(yī)科大學(xué)》2017年碩士論文

【摘要】：研究目的:1.調(diào)查分析康復(fù)期精神分裂癥患者的孤獨(dú)感水平;2.調(diào)查分析康復(fù)期精神分裂癥患者孤獨(dú)感的影響因素;3.探究團(tuán)體輔導(dǎo)對(duì)康復(fù)期精神分裂癥患者孤獨(dú)感狀況的作用。研究方法:1.基線調(diào)查:采用隨機(jī)抽樣的方法,從山西省某精神衛(wèi)生�？漆t(yī)院的封閉和開放病房中挑選300名精神分裂癥患者為研究對(duì)象,對(duì)其進(jìn)行陽性和陰性癥狀量表、孤獨(dú)量表、自尊量表和領(lǐng)悟社會(huì)支持量表的測(cè)查,初步分析精神分裂癥患者的孤獨(dú)感特點(diǎn)。2.團(tuán)體輔導(dǎo):從基線調(diào)查中選取符合入組標(biāo)準(zhǔn)的精神分裂癥患者80名進(jìn)行實(shí)驗(yàn),在征求患者及其家屬和主治醫(yī)生的同意后,采用隨機(jī)抽樣的方法將精神分裂癥患者80名分為實(shí)驗(yàn)組40名和對(duì)照組40名,在藥物治療的基礎(chǔ)上,對(duì)實(shí)驗(yàn)組的患者進(jìn)行九次團(tuán)體輔導(dǎo),對(duì)照組的患者不采取任何措施。3.效果評(píng)估:團(tuán)體輔導(dǎo)結(jié)束后,對(duì)實(shí)驗(yàn)組和對(duì)照組的精神分裂癥患者的孤獨(dú)感狀況、自尊水平、領(lǐng)悟社會(huì)支持能力以及滿意度進(jìn)行測(cè)查,并統(tǒng)計(jì)分析數(shù)據(jù)來檢驗(yàn)輔導(dǎo)效果。研究結(jié)果:1.山西省某精神衛(wèi)生�？漆t(yī)院精神分裂癥患者孤獨(dú)感為高度孤獨(dú),自尊水平平均值為27.54±4.49,領(lǐng)悟社會(huì)支持能力平均值為55.61±16.44。2.精神分裂癥患者的孤獨(dú)感和自尊以及領(lǐng)悟社會(huì)支持能力呈顯著負(fù)相關(guān),精神分裂癥患者的自尊和領(lǐng)悟社會(huì)支持能力呈顯著正相關(guān)。3.對(duì)照組精神分裂癥患者的孤獨(dú)感水平無顯著性差異(t=-0.03,p=0.98),實(shí)驗(yàn)組精神分裂癥患者的孤獨(dú)感水平存在顯著性差異(t=3.50,p=0.001),實(shí)驗(yàn)組和對(duì)照組精神分裂癥患者干預(yù)后的孤獨(dú)感水平存在顯著性差異(t=-3.76,p=0.001)。研究結(jié)論:1.山西省某精神衛(wèi)生�？漆t(yī)院的精神分裂癥患者存在高度孤獨(dú)感,山西省某2.精神衛(wèi)生專科醫(yī)院精神分裂癥患者的孤獨(dú)感受到其個(gè)人自尊水平和領(lǐng)悟社會(huì)支持能力等因素的影響。3.團(tuán)體輔導(dǎo)可能通過改善山西省某精神衛(wèi)生專科醫(yī)院精神分裂癥患者的自我認(rèn)識(shí)、人際溝通等方面促進(jìn)孤獨(dú)感的改善。
[Abstract]:Objective: 1. To investigate and analyze the loneliness level of schizophrenic patients in convalescent period. To investigate and analyze the influencing factors of loneliness in patients with schizophrenia during convalescent period. To explore the effect of group counseling on loneliness status of patients with schizophrenia during rehabilitation. Research method: 1. Baseline survey: 300 schizophrenic patients were selected from the closed and open wards of a mental health hospital in Shanxi Province by random sampling. The positive and negative symptoms scale and loneliness scale were carried out. Self-esteem scale and perceived social support scale were used to analyze the loneliness characteristics of schizophrenic patients. Group counseling: from the baseline survey, 80 schizophrenic patients who met the criteria for admission were selected for the experiment, and the consent of the patient, his family and the attending doctor was sought. 80 schizophrenic patients were divided into experimental group (n = 40) and control group (n = 40) by random sampling. On the basis of drug therapy, the patients in the experimental group were given nine group counseling, while the patients in the control group did not take any measures. Effect evaluation: after group counseling, the status of loneliness, self-esteem, perceived social support ability and satisfaction of schizophrenic patients in experimental group and control group were measured, and the data were analyzed to test the effect of counseling. The result of the study was: 1. The patients with schizophrenia in a special hospital of mental health in Shanxi Province had a high degree of loneliness, the average level of self-esteem was 27.54 鹵4.49, and the average of perceived social support ability was 55.61 鹵16.44.2. There was a significant negative correlation between loneliness and self-esteem and perceived social support ability in schizophrenic patients, and significant positive correlation between self-esteem and perceived social support ability in schizophrenic patients. There was no significant difference in the loneliness level between the control group and the control group. There was no significant difference in the loneliness level between the experimental group and the control group. There was a significant difference in the loneliness level between the experimental group and the control group. The loneliness level of the experimental group and the control group was significantly higher than that of the control group. There was a significant difference between the two groups. Conclusion: 1. Schizophrenia patients in a mental health hospital in Shanxi Province have a high sense of loneliness, Shanxi Province, 2. 5%. The loneliness of schizophrenic patients in mental health specialized hospital felt the influence of factors such as the level of personal self-esteem and the ability of perceived social support. Group counseling may promote the improvement of loneliness by improving the self-awareness and interpersonal communication of schizophrenic patients in a mental health hospital in Shanxi Province.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R749.3

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