精神病相关的创伤是一种普遍的疾病,会对患者产生重大影响,并经常导致对精神科护理服务的依赖增加。这项研究旨在更深入地了解累积创伤与精神病患者精神病症状严重程度之间的复杂关系。利用横断面研究设计,数据收集自76名社区住院患者.患者的社会人口统计学和临床数据,累积创伤测量得分,收集精神病症状严重程度量表评分。集体身份创伤与幻觉和异常精神运动行为的存在之间存在显着差异(分别为Z=4.1和2.69)。在角色认同创伤与妄想和异常精神运动行为之间也观察到显着差异(分别为Z=3.86和2.06);依恋创伤和幻觉的存在,异常的精神运动行为,躁狂(Z分别为2.16、2.12和2.11);生存创伤和言语混乱(Z=2.61)。此外,关于继发性创伤和幻觉的存在存在显着差异,妄想,杂乱无章的演讲,异常的精神运动行为,抑郁症,和躁狂症(Z分别为4.29、2.15、2.11、2.12、4.42和3.39)。总之,总累积创伤解释了44.2%,25.8%,24.7%,16.2%,13.6%,妄想的严重性为13.2%,幻觉,抑郁症,躁狂症,异常的精神运动行为,和杂乱无章的演讲,分别,在经历精神病的患者中。对护理实践的启示,通过认识到累积创伤和精神病症状的不同表现之间的微妙相互作用,护理专业人员可以调整他们的方法,以提供更全面和以患者为中心的护理,这可能显著有助于改善患者预后和个人的整体福祉,从而驾驭精神病相关创伤的复杂景观.
Psychosis-related trauma is a prevalent condition that significantly impacts patients and often leads to an increased reliance on psychiatric nursing services. This study aimed to provide a deeper understanding of the complex relationship between cumulative trauma and the severity of psychosis symptoms among patients experiencing psychosis. Utilizing a cross-sectional research design, data were collected from 76 community-dwelling patients recruited. Patients\' sociodemographic and clinical data, Cumulative Trauma Measure scores, and psychosis symptom severity scale scores were collected. A significant difference was observed between collective identity trauma and the presence of hallucinations and abnormal psychomotor behavior (Z = 4.1 and 2.69, respectively). Significant differences were also observed between role identity trauma and the presence of
delusions and abnormal psychomotor behavior (Z = 3.86 and 2.06, respectively); attachment trauma and the presence of hallucinations, abnormal psychomotor behavior, and mania (Z = 2.16, 2.12, and 2.11, respectively); and survival trauma and the presence of disorganized speech (Z = 2.61). Moreover, there was a significant difference regarding secondary trauma and the presence of hallucinations,
delusions, disorganized speech, abnormal psychomotor behavior, depression, and mania (Z = 4.29, 2.15, 2.11, 2.12, 4.42, and 3.39, respectively). In conclusion, total cumulative trauma explained 44.2 %, 25.8 %, 24.7 %, 16.2 %, 13.6 %, and 13.2 % of the severity of delusion, hallucination, depression, mania, abnormal psychomotor behavior, and disorganized speech, respectively, among patients experiencing psychosis. Implication for nursing practice, by recognizing the nuanced interplay between cumulative trauma and diverse manifestations of psychosis symptoms, nursing professionals can tailor their approaches to provide more holistic and patient-centered care that may significantly contribute to improved patient outcomes and the overall well-being of individuals navigating the complex landscape of psychosis-related trauma.