认知适应训练在严重精神障碍患者中的应用进展

doi:10.3761/j.issn.0254-1769.2023.07.018

摘要/Abstract

摘要：

认知适应训练能绕开严重精神障碍患者的认知缺陷，利用个性化的补偿策略和环境支持发展患者的适应性行为，提高其社会功能、服药依从性、生活质量和预后等。近年来，国外精神科护士主导的认知适应训练经过可行性探索，不断改进研究方法，已发展为较成熟的护理干预模式，并作为常规护理融入精神科病房临床实践。该文对认知适应训练在严重精神障碍患者中的研究现状、干预内容、干预效果进行综述，从4个方面提出在国内精神科病房和社区开展认知适应训练的建议，以期为国内开展认知适应训练的研究和临床实践提供借鉴。

关键词: 严重精神障碍, 认知适应训练, 认知补偿, 社会功能, 综述, 护理

Abstract:

Cognitive adaptation training can bypass the cognitive deficits of patients with severe mental illness （SMI），use personalized compensation strategies and environment to support the development of patients’ adaptive behaviors，and improve their social function，medication adherence，quality of life and prognosis. In recent years，nurse-led cognitive adaptation training has developed into a mature nursing intervention after feasibility exploration and continuous improvement of research methods abroad，and it has been integrated into psychiatric wards as routine nursing. This paper reviews the application status，intervention contents and intervention effects of cognitive adaptation training in patients with SMI，and puts forward suggestions on cognitive adaptation training in psychiatric wards and community environments in China from 4 aspects，in order to provide references for the research and clinical practice on cognitive adaptation training in China.

Key words: Severe Mental Illness, Cognitive Adaptation Training, Cognitive Compensation, Social Function, Review, Nursing Care

赵伟, 王玉玲, 刘志华, 张俊峰. 认知适应训练在严重精神障碍患者中的应用进展[J]. 中华护理杂志, 2023, 58(7): 885-890.

ZHAO Wei, WANG Yuling, LIU Zhihua, ZHANG Junfeng. Research progress on cognitive adaptation training for patients with severe mental illness[J]. Chinese Journal of Nursing, 2023, 58(7): 885-890.

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