精神分裂症患者暴力行为体验的定性研究
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女,硕士在读,学生

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国家自然科学基金项目(72074063)


Experience of violent behavior among patients with schizophrenia:a qualitative study
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    目的 了解精神分裂症患者暴力行为的主观体验,为临床制订有效的暴力预防措施提供依据。方法 采取描述性现象学方法,以目的抽样法选取15例稳定期精神分裂 症患者进行半结构式访谈,采用Colaizzi 7步分析法进行资料整理与分析。结果 归纳出3个主题及9个亚主题:暴力行为的激活因素(疾病症状、家庭环境、社会环境与 突发事件);暴力后的心理反应(后悔与内疚、失控与无力感、对后果的担忧);暴力的应对策略(自我调节策略、寻求外部支持、治疗与重建)。结论 精神分裂症患者 暴力行为受症状、家庭与社会环境交互作用的影响。医务人员应关注患者的情绪与认知体验,开展多维度干预措施,降低暴力风险,促进其社会功能康复。

    Abstract:

    Objective To understand the subjective experience of violent behavior in patients with schizophrenia and provide a basis for the clinical formulation of effective violence prevention measures. Methods A descriptive phenomenological approach was adopted to guide the study. Fifteen patients with stable phase schizophrenia were purposively recruited to participate in semi-structured interviews. Data were analyzed following Colaizzi′s phenomenological method. Results Three themes and nine sub-themes were identified: triggers of violent behavior (symptoms of illness, family environment, and social environment and sudden events), psychological experiences following violent behavior(regret and guilt, feelings of loss of control and powerlessness, and concerns about the consequences), and coping strategies (self- regulation, seeking external support,and treatment and reconstruction). Conclusion Violent behavior in patients with schizophrenia is triggered by the interplay among clinical symptoms, family and social environments. Healthcare professionals should carefully consider patients′ emotional and cognitive experiences and implement multidimensional interventions aimed at reducing violence risk and facilitating social functional recovery.

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黄慧珍,陈宇斌,冯杨,张舒欣,卢民乐,董俊辉,王飞,周郁秋.精神分裂症患者暴力行为体验的定性研究[J].护理学杂志,2025,40(22):89-93

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  • 收稿日期:2025-06-23
  • 最后修改日期:2025-08-19
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  • 在线发布日期: 2025-12-30