89 STUDY ON EMOTIONAL PERCEPTION OF SCHIZOPHRENIC PATIENTS WITH TRADITIONAL CULTURAL READING THERAPY COMBINED WITH DRUGS

IF 4.8 1区 医学 Q1 PSYCHIATRY Schizophrenia Bulletin Pub Date : 2025-02-18 DOI:10.1093/schbul/sbaf007.089
Wei Bu
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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.
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传统文化阅读疗法联合药物治疗对精神分裂症患者情绪感知的影响
精神分裂症患者常伴有情绪障碍,包括情绪平淡、情绪不协调和情绪感知障碍。这些症状严重影响患者的社会交往和日常生活功能。抗精神病药物虽然能有效控制精神分裂症的阳性症状,但对改善患者的阴性症状和情绪感知的作用有限。传统文化阅读疗法作为一种辅助疗法,通过阅读和讨论传统文化材料,促进患者的自我反思和情感表达,有助于提高患者的情绪感知能力和社交能力。为了提高患者的情绪感知和社会功能,本研究综合考虑了药物治疗和传统文化阅读对心理康复的潜在积极作用。方法在2020年1月至2023年12月期间,将60例住院的长期精神分裂症患者随机分为研究组和对照组,每组30人。对照组给予常规护理和药物治疗,努力与患者建立良好的沟通,营造和谐的护患关系。护理人员监测患者的心理变化,适当引导患者的消极情绪,确保患者按照医嘱正确服药。研究组使用了装有VCD播放器和有线电视等多媒体设备的阅读疗法。研究组患者分为两组,每组15人,每组4周读书,一般每天1小时,分为上午和下午两个时段。采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对患者进行评估。结果长期住院的精神分裂症患者常出现社交障碍,表现为明显的阴性症状和不同程度的阳性症状。分析显示,干预前两组患者的负性情绪得分无显著差异(P >;0.05)。但干预后,研究组的负性情绪得分低于对照组,且研究组的护理满意度显著高于对照组(P <;0.05)。由于患者常伴有思维障碍、精力不足、焦虑和抑郁,社交功能障碍显著,因此对这些患者进行阅读治疗干预,有助于改善其认知症状、阴性症状和社交功能。在实际应用中,阅读疗法使患者能够在阅读后讨论心理健康问题,更深入地了解自己的心理状态,这证明了阅读疗法在健康教育中的显著作用。阅读疗法不仅为患者提供了有效的治疗,还有助于维持良好的护患关系,满足患者对健康教育的需求,增强患者对医疗团队的信任。阅读疗法以现代生物-心理-社会医学模式为基础,健康教育内容更为丰富,是一种有效的干预措施。
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来源期刊
Schizophrenia Bulletin
Schizophrenia Bulletin 医学-精神病学
CiteScore
11.40
自引率
6.10%
发文量
163
审稿时长
4-8 weeks
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.
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