摘要
目的探讨采用延续性护理方法改善早期精神分裂症患者精神症状及生活质量的效果。方法选择2014年1月-2016年6月在上海市精神卫生中心即将出院的早期精神分裂症患者160例,按照奇偶数随机分组的方法分为观察组和对照组,各80例,对照组接受精神科疾病常规护理及规范化的出院指导,观察组在此基础上进行延续护理干预,并在治疗前(基线)及治疗1个月、2个月、3个月、1年后使用精神分裂症生活质量量表(SQLS)、临床总体印象量表(CGI)评定患者情况。结果干预前两组SQLS、CGI得分比较差异无统计学意义(P>0. 05),干预12个月后观察组SQLS、CGI得分低于对照组(P<0. 001),这一现象最早出现于干预1个月后(P<0. 001);家人支持程度与基线CGI得分对接受延续性护理患者的生活质量改善程度具有预测作用(P分别为0. 004和0. 007)。结论延续性护理有助于尽快改善早期精神分裂症患者的生活质量,缓解精神病性症状。
Objective To improve the early symptoms and life quality of schizophrenia patients with mental effects using the continuity of nursing methods. Methods 160 cases of early stage schizophrenia patients to be discharged from January 2014 to June 2016 in the mental health center of Shanghai city were randomly divided into experimental group and control group （80 cases in each group）. After received the routine nursing care and standardized discharge guidance in psychiatric diseases, patients in experimental group was given continuation nursing intervention. The schizophrenia quality of life scale （SQLS）, Clinical global impression scale （CGI） and before treatment （baseline） and after 1 month, 2 months, 3 months, 1 years after the use of were evaluated. Results The intervention the differ ence between the SQLS and CGI score before the two groups had no statistical significance （P〉0.05）, 12 months after the intervention group SQLS, CGI score lower than the control group （P〈0.001）, this phenomenon first ap peared in the 1 months after the intervention （P〈0.001）; family support and baseline CGI scores for continuing nursing care patients the quality of life improvement has forecast effect （P=0.004,0.007）. Conclusion Continuous nursing is helpful to early schizophrenia as soon as possible to improve the quality of life of patients, alleviate psy chotic symptoms.
作者
龚晴
吴瑛
张昊
Gong Qing;Wu Ying;Zhang Hao(Affiliated Shanghai Mental Health Center,Medical College of Shanghai Jiaotong University Shanghai,200030;Shanghai Mayo Mental Health Counseling Clinic,Shanghai,200040)
出处
《护士进修杂志》
2018年第19期1738-1742,共5页
Journal of Nurses Training
基金
上海市精神卫生中心院级课题(编号:2015-YJ-18)
