LEARNS模式的健康教育对精神分裂症患者心理弹性、自护能力、服药依从性及主观幸福感的影响OA
Impact of LEARNS model—based health education on psychological resilience,self—care ability,medication adherence,and subjective well—being in patients with schizophrenia
目的:探讨基于聆听-建立-应用-提高-反馈教学-强化(LEARNS)模式的健康教育对精神分裂症患者心理弹性、自护能力、服药依从性及主观幸福感的影响.方法:以2023年1月-2025年1月于某院住院接受治疗的88例精神分裂症患者为研究对象.采用随机数字表法将其分为观察组(n=44)和对照组(n=44),两组均遵医嘱维持原有药物治疗,对照组接受常规护理管理,观察组在该基础上采取基于LEARNS模式的健康教育.干预时间为6个月,比较两组心理弹性、自护能力、服药依从性、主观幸福感及社会功能.结果:干预后,与对照组比较,观察组心理弹性量表(CD-RISC)中坚韧、自强、乐观领域评分显著提升(t=3.379,3.485,3.450;P＜0.05),观察组自我护理能力量表(ESCA)中自我责任感、自我概念、自我护理技能、健康知识水平领域评分及总评分显著提升(t=5.264,3.931,5.754,4.750,10.174;P＜0.05),观察组药物依从性比率量表(MARS-10)、幸福感指数量表(IWB)评分显著提升(t=5.112,5.897;P＜0.05),观察组社会功能评定量表(SSFPI)中日常生活能力、动性和交往情况、社会性活动技能领域评分及总评分显著提升(t=2.788,4.437,4.034,4.750;P＜0.05),差异有统计学意义.结论:基于LEARNS模式的健康教育可有效改善精神分裂症患者心理弹性、自护能力,提升其服药依从性、主观幸福感及社会功能.
Objective:To explore the impact of health education based on the Listen-Establish-Adopt-Reinforce-Name-Strengthen(LEARNS)model on psychological resilience,self-care ability,medication adherence,and sub-jective well-being in patients with Schizophrenia.Methods:This study enrolled 88 patients with schizophrenia hospi-talized and treated in our hospital from January 2023 to January 2025.Using a random number table method,they were divided into an observation group(n=44)and a control group(n=44).Both groups continued their original medication regimens as prescribed.The control group received routine nursing management,while the observation group received additional health education based on the LEARNS model.The intervention lasted for 6 months,after which the two groups were compared in terms of psychological resilience,self-care ability,medication adherence,subjective well-being,and social functioning.Results:After intervention,compared with the control group,the scores of tenacity,self-reliance and optimism in the Connor-Davidson Resilience Scale(CD-RISC)of the observation group were significantly improved(t=3.379,3.485,3.450;P＜0.05).The domain scores of self-responsibility,self-concept,self-care skills,health knowledge level and total scores in the Exercise of Self-Care Agency Scale(ES-CA)of the observation group were significantly improved(t=5.264,3.931,5.754,4.750,10.174;P＜0.05).The scores of Medication Adherence Rating Scale-10(MARS-10)and Index of Well-Being(IWB)in the observation group were significantly increased(t=5.112,5.897;P＜0.05).The Scale of Social Function in Psychosis Inpatients(SSFPI)scores of daily living skills,mobility and social interaction,social activity skills scores and total scores of the observation group were significantly improved(t=2.788,4.437,4.034,4.750;P＜0.05).Conclusion:Health education based on the LEARNS model can effectively improve psychological resilience and self-care ability in patients with schizophrenia,while enhancing their medication adherence,subjective well-being,and social functioning.
梅敏莎;叶丽;袁红卫
浙江省丽水市第二人民医院中医精神科 323000浙江省丽水市第二人民医院中医精神科 323000浙江省丽水市第二人民医院中医精神科 323000
医药卫生
LEARNS模式健康教育精神分裂症心理弹性自护能力服药依从性主观幸福感社会功能
LEARNS modelHealth educationSchizophreniaPsychological resilienceSelf-care abilityMedica-tion adherenceSubjective well-beingSocial functioning
《中国健康心理学杂志》 2026 (1)
39-45,7
浙江省丽水市科技计划项目(编号:2022SJZC045)
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