摘要
目的探讨个性化护理促进住院精神分裂症患者心理康复的效果。方法 2013年1-12月,便利抽样法选择上海市浦东新区精神卫生中心收治的137例精神分裂症患者为研究对象,所有患者均给予抗精神病对症治疗,按入院先后将137例患者分为观察组(68例)和对照组(69例),分别给予为期24周的个性化护理及常规护理。采用阳性和阴性症状量表(positive and negative syndrome scale,PANSS)和住院患者护士观察量表(nurses’observation scale for inpatient evaluation,NOSIE-30)在干预前及干预后第4、12、24周对两组患者进行评估。结果干预前及干预后4周,两组患者的PANSS、NOSIE-30量表评分,差异均无统计学意义(均P>0.05);干预后12(除阳性症状、精神病表现及抑郁)、24周(除阳性症状及抑郁),观察组患者的PANSS、NOSIE-30量表评分与对照组比较,差异均有统计学意义(均P<0.05)。结论在对症治疗的基础上,对住院精神分裂症患者开展个性化护理,有利于改善患者的精神症状,促进其心理康复。
Objective To discuss the research effect of personalized nursing in promoting the psychological rehabilitation of hospitalized schizophrenic.Methods Totally 137 cases of patients were selected and randomly divided into observation group（n=68）and control group（n=69）.All patients were received 24 weeks of personalized nursing and routine care.The patient＇s mental recovery situation was evaluated by PANNS and NOSIE 30 scale before intervention and in 4th,12 th and 24 th week after intervention.Results There was no statistical significance of PANNS scale and NOSIE-30 of two groups of patients before intervention and 4weeks after intervention（all P〉0.05）.The differences of PANNS and NOSIE 30 scale score after 12week（except positive symptom,psychotic manifestation and depression）and 24weeks（except positive symptom and depression）in observation group showed statistical significance with control group（all P〈0.05）.Conclusion On the basis of antipsychotic treatment,the implementation of personalized nursing in hospitalized schizophrenic can improve their mental status and promote their psychological rehabilitation.
出处
《解放军护理杂志》
CSCD
2015年第11期6-9,共4页
Nursing Journal of Chinese People's Liberation Army
基金
浦东新区科技发展基金创新基金项目(PKJ2012-Y31)
关键词
个性化护理
精神分裂
心理
康复
personalized nursing
schizophrenic
mental
recovery
