摘要
[目的]探讨基于三维护理分级模型个性化护理干预对精神分裂症病人生活质量的影响。[方法]选取2014年3月—2016年3月我院救治的124例精神分裂症病人,随机分为两组各62例。对照组实施常规护理,观察组基于三维护理分级模型管理加强个性化护理干预。[结果]干预后观察组阳性与阴性症状量表(PANSS)评分(41.57分±6.55分)低于对照组(44.01分±6.21分),两组比较差异有统计学意义(P<0.05);干预后观察组躯体功能(73.69分±9.67分)、心理功能(72.33分±10.63分)、社会功能(71.96分±9.81分)、物质功能(74.63分±11.58分)评分高于对照组躯体功能(64.35分±8.66分)、心理功能(64.87分±9.75分)、社会功能(63.58分±7.32分)、物质功能(65.33分±9.27分),两组比较差异均有统计学意义(P<0.05);干预后观察组依赖性(16.52分±4.25分)、活动能力(14.62分±3.98分)、社交能力(18.74分±5.68分)、症状及病态行为(11.24分±3.28分)评分低于对照组依赖性(18.79分±4.38分)、活动能力(17.02分±3.47分)、社交能力(21.57分±5.06分)、症状及病态行为(14.38分±3.62分),两组比较差异均有统计学意义(P<0.05);观察组病人护理满意率(98.39%)高于对照组满意率(85.48%),两组比较差异有统计学意义(P<0.05)。[结论]基于三维护理分级模型个性化护理干预在精神分裂症病人中应用有利于缓解病人临床症状,改善生活质量,且病人及家属护理满意度高。
Objective： To explore influence of hierarchical model based on three - dimensional nursing on life quality of patients with schizophrenia. Methods： 124 patients with schizophrenia admitted to our hospital between March 2014 and March 201 6 were randomly divided into two groups （ n = 62）. Patients in the control group underwent routine care intervention？whereas those in the observation group were treated with hierarchical model based on three-dimensional nursing for individualized nursing. Results ： Aftive and negative symptomscale（PANSS） score of the observation group（41 57±6. 55） was lower than that of the control group（44. 01 ± 6. 21 ） and the difference was statistically significant （P 〈0. 05）. After intervention, the scores of physical function , mental function , social function and material function in the observation group were respectively（73. 69±9. 67）,（72. 33 ±10. 63）,（71. 96 ±9. 81） and（74. 63 ± 11. 58） , all higher than eachof those in the control group,which were respectively（64. 35 ±8. 66）,（64. 87 ±9. 75）,（63. 58±7. 32）, and（65. 33 ± 9. 27） ,and the difference was statistically significant （P 〈0. 05）. After intervention , the scopendence, activity, social competence, symptoms and pathological behavior in the observation group were regis-tered at（16. 52 ±4. 25）,（14. 62 ±3. 98）,（18. 74 ±5. 68） and（11. 24 ±3. 28） , all lower than those in the control group, which were respectively （18. 79 ± 4. 38） （17. 02 ± 3. 47） （21. 57 ±5. 06） and （14. 38 ±3. 62） , and the differences were statistically significant（P 〈0. 05）. The satisfaction to nursing in the observation group was 98. 3 9 %, higher than the 85. 48% in the control group,and the difference was statistically significant（P 〈0. 05）. Conclusions： The application of hierarchical model based on three-dimensional nursing in patients with schizophreniawas beneficial to alleviate the clinical symptoms and improve the quality of life of patients？ and the satisfaction of patients and their families was high.
出处
《护理研究（下旬版）》
2017年第10期3801-3804,共4页
Chinese Nursing Researsh
基金
湖北省卫生和计划生育委员会科研项目
编号:WJ2015HB024
