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象，按隨機數(shù)字表法分為對照組（n=35）與干預(yù)組（n=35）。對照組給予常規(guī)護理，干預(yù)組在常規(guī)護理基礎(chǔ)上給予自我效能理論干預(yù)。干預(yù)2個月后，比較兩組服藥依從性、社會功能缺陷評分以及生活質(zhì)量。結(jié)果：干預(yù)前，兩組服藥依從性比較，差異無統(tǒng)計學(xué)意義（P>0.05）;干預(yù)后，干預(yù)組服藥依從性明顯優(yōu)于對照組（P<0.05）。干預(yù)前，兩組各項社會功能評分比較，差異均無統(tǒng)計學(xué)意義（P>0.05）;干預(yù)后，干預(yù)組病房內(nèi)活動、自理能力、對外界的關(guān)心和興趣、責任心和社會性評分均高于對照組（P<0.05）。干預(yù)前，兩組各項生活質(zhì)量評分比較，差異無統(tǒng)計學(xué)意義（P>0.05）;干預(yù)后，干預(yù)組各項生活質(zhì)量評分均高于對照組（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