摘要
目的探究个性化家庭医生签约模式下护理干预对农村精神障碍患者的影响。方法以随机抽样法为分组依据,将本院公卫科随访管理抽取的76例农村精神障碍患者分为干预组(个性化家庭医生签约模式下护理干预)与参照组(常规护理)各38例,均于2020年1月-2021年1月在本院公卫科管理接受随访,对干预效果进行分析比较。结果干预前两组汉密尔顿抑郁、焦虑(HAMD、HAMA)比较无差异(P>0.05),干预后干预组HAMD、HAMA低于参照组(P<0.05);干预组复发率、再入院率为2.63%、7.89%,明显低于参照组的18.42%、36.84%,差异显著(P<0.05);干预前两组生活质量(QOL)比较无差异(P>0.05),干预后干预组评分高于参照组(P<0.05)。结论将个性化家庭医生签约模式下护理干预应用于农村精神障碍患者后,可显著消除负性情绪,改善生活质量,减少疾病复发率及再入院率,值得应用。
Objective To explore the impact of family physicians’individualized nursing interventions for mental disorder patients in the rural areas.Methods 76 mental disorder patients managed from January 2020 to January 2021 in our public health department were selected.According to random sampling method,patients were divided into intervention group(n=38,family physicians’individualized nursing interventions)and reference group(n=38,routine care).Management results were analyzed.Results Before management,there were no significant between-group differences about Hamilton depression scale(HAMD)and Hamilton anxiety scale(HAMA)scores(P>0.05);after management,HAMD and HAMA scores in the intervention group were lower than reference group(P<0.05);the recurrence and re-admission rates in the intervention group(2.63%,7.89%)were lower than reference group(18.42%,36.84%)(P<0.05);before management,there were no significant between-group differences about quality of life(QOL)scores(P>0.05);after management,QOL scores in the intervention group were higher than reference group(P<0.05).Conclusion The family physicians’individualized nursing interventions can reduce the negative emotions,recurrence and re-admission rates,and improve the quality of life for mental disorder patients in the rural areas.It is worthy of application.
作者
李苹苹
LI Pingping(Public Health Department,Wuyuan Town Health Center of Jiexi County,Jieyang,Guangdong 515422)
出处
《智慧健康》
2022年第4期179-181,185,共4页
Smart Healthcare
关键词
精神障碍
农村患者
家庭医生签约模式
个性化护理
Mental disorder
Rural patients
Family physicians signing
Individualized nursing
