{"title":"89 STUDY ON EMOTIONAL PERCEPTION OF SCHIZOPHRENIC PATIENTS WITH TRADITIONAL CULTURAL READING THERAPY COMBINED WITH DRUGS","authors":"Wei Bu","doi":"10.1093/schbul/sbaf007.089","DOIUrl":null,"url":null,"abstract":"Background Patients with schizophrenia are often accompanied by emotional disorders, including emotional flatness, emotional incongruity and impairment of emotional perception. These symptoms have a serious impact on patients’ social interaction and daily life functions. Although antipsychotic drugs can effectively control the positive symptoms of schizophrenia, they have limited effect on improving the negative symptoms and emotional perception of patients. As an auxiliary therapy, traditional cultural reading therapy can promote patients’ self-reflection and emotional expression through reading and discussing traditional cultural materials, and help improve patients’ emotional perception and social skills. In order to improve the emotional perception and social function of patients, the study comprehensively considered the potential positive effects of drug therapy and traditional cultural reading on mental rehabilitation. Methods Between January 2020 and December 2023, 60 long-stay schizophrenic patients admitted to a hospital were randomly assigned to a study group and a control group, with 30 people in each group. The control group received the usual care and medication, and worked to establish good communication with the patients to create a harmonious nurse-patient relationship. The nursing staff monitors the patient’s psychological changes, guides the patient’s negative emotions appropriately, and ensures that the patient follows the doctor’s instructions to take the medication correctly. The research team used reading therapy, which was equipped with multimedia devices such as VCD players and cable TV. Patients in the study group were divided into two groups, each group of 15 people, each group for 4 weeks to read books, usually 1 hour a day, divided into two sessions in the morning and afternoon. Patients were evaluated using Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS). Results Patients with schizophrenia who are hospitalized for a long period of time are often socially impaired, showing significant negative symptoms and varying degrees of positive symptoms. The analysis showed that there was no significant difference in negative emotion scores between the two groups before intervention (P > 0.05). However, after the intervention, the negative emotion score of the study group was lower than that of the control group, and the nursing satisfaction of the study group was significantly higher than that of the control group (P < 0.05). Since the patients are often accompanied by thinking disorders, lack of energy, anxiety and depression, social dysfunction is significant, therefore, providing reading therapy intervention to these patients can help improve their cognitive symptoms, negative symptoms, and social functioning. Discussion In practical application, reading therapy enables patients to discuss mental health issues after reading and understand their mental state more deeply, which proves that reading therapy has a significant effect in health education. Reading therapy not only provides effective treatment for patients, but also helps to maintain a good nurse-patient relationship, meet the needs of patients for health education, and enhance patients’ trust in the medical team. Reading therapy is based on the modern bio-psycho-social medical model, and the content of health education is more abundant, which is an effective intervention measure.","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"64 1","pages":""},"PeriodicalIF":5.3000,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Schizophrenia Bulletin","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/schbul/sbaf007.089","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
Background Patients with schizophrenia are often accompanied by emotional disorders, including emotional flatness, emotional incongruity and impairment of emotional perception. These symptoms have a serious impact on patients’ social interaction and daily life functions. Although antipsychotic drugs can effectively control the positive symptoms of schizophrenia, they have limited effect on improving the negative symptoms and emotional perception of patients. As an auxiliary therapy, traditional cultural reading therapy can promote patients’ self-reflection and emotional expression through reading and discussing traditional cultural materials, and help improve patients’ emotional perception and social skills. In order to improve the emotional perception and social function of patients, the study comprehensively considered the potential positive effects of drug therapy and traditional cultural reading on mental rehabilitation. Methods Between January 2020 and December 2023, 60 long-stay schizophrenic patients admitted to a hospital were randomly assigned to a study group and a control group, with 30 people in each group. The control group received the usual care and medication, and worked to establish good communication with the patients to create a harmonious nurse-patient relationship. The nursing staff monitors the patient’s psychological changes, guides the patient’s negative emotions appropriately, and ensures that the patient follows the doctor’s instructions to take the medication correctly. The research team used reading therapy, which was equipped with multimedia devices such as VCD players and cable TV. Patients in the study group were divided into two groups, each group of 15 people, each group for 4 weeks to read books, usually 1 hour a day, divided into two sessions in the morning and afternoon. Patients were evaluated using Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS). Results Patients with schizophrenia who are hospitalized for a long period of time are often socially impaired, showing significant negative symptoms and varying degrees of positive symptoms. The analysis showed that there was no significant difference in negative emotion scores between the two groups before intervention (P > 0.05). However, after the intervention, the negative emotion score of the study group was lower than that of the control group, and the nursing satisfaction of the study group was significantly higher than that of the control group (P < 0.05). Since the patients are often accompanied by thinking disorders, lack of energy, anxiety and depression, social dysfunction is significant, therefore, providing reading therapy intervention to these patients can help improve their cognitive symptoms, negative symptoms, and social functioning. Discussion In practical application, reading therapy enables patients to discuss mental health issues after reading and understand their mental state more deeply, which proves that reading therapy has a significant effect in health education. Reading therapy not only provides effective treatment for patients, but also helps to maintain a good nurse-patient relationship, meet the needs of patients for health education, and enhance patients’ trust in the medical team. Reading therapy is based on the modern bio-psycho-social medical model, and the content of health education is more abundant, which is an effective intervention measure.
期刊介绍:
Schizophrenia Bulletin seeks to review recent developments and empirically based hypotheses regarding the etiology and treatment of schizophrenia. We view the field as broad and deep, and will publish new knowledge ranging from the molecular basis to social and cultural factors. We will give new emphasis to translational reports which simultaneously highlight basic neurobiological mechanisms and clinical manifestations. Some of the Bulletin content is invited as special features or manuscripts organized as a theme by special guest editors. Most pages of the Bulletin are devoted to unsolicited manuscripts of high quality that report original data or where we can provide a special venue for a major study or workshop report. Supplement issues are sometimes provided for manuscripts reporting from a recent conference.