中国健康心理学杂志2026，Vol.34Issue(1)：39-45,7.DOI:10.13342/j.cnki.cjhp.2026.01.008
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
Impact of LEARNS model—based health education on psychological resilience,self—care ability,medication adherence,and subjective well—being in patients with schizophrenia
摘要
Abstract
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.关键词
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Key words
LEARNS model/Health education/Schizophrenia/Psychological resilience/Self-care ability/Medica-tion adherence/Subjective well-being/Social functioning分类
医药卫生引用本文复制引用
梅敏莎,叶丽,袁红卫..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[J].中国健康心理学杂志,2026,34(1):39-45,7.基金项目
浙江省丽水市科技计划项目(编号:2022SJZC045) （编号:2022SJZC045）
