摘要
目的探讨心理护理在康复期精神分裂症患者中的应用。方法将30例在本院接受治疗的康复期精神分裂症患者作为研究对象,所有患者均给予心理护理干预,观察患者干预前后的护理情况,其中包括阳性与阴性症状量表(PANSS),护理观察量表(NOSIE)以及症状自评量表。结果干预后患者阳性症状、阴性症状以及一般精神病理均明显优于干预前,组间比较,差异有统计学意义(P <0.05);干预后患者躯体化、人际关系、抑郁、交流、敌对、恐惧、精神病性以及阳性项目均优于干预前,差异有统计学意义(P <0.05);干预后躯体强迫、偏执与干预前未发生较大改变,差异无统计学意义(P> 0.05);干预后病情总估计、总消极因素、总积极因素、社会能力、社会兴趣、个人整洁、激惹、迟缓以及抑郁均明显优于干预前,差异有统计学意义(P <0.05)。结论为康复期精神分裂症患者进行以心理干预为主的护理干预,可有效改善患者的心理健康水平,患者社会功能得到明显提高,值得临床推广。
Objective To explore the application of psychological nursing in patients with schizophrenia. Methods Thirty patients with convalescent schizophrenia who were treated in our hospital were selected as the research subjects. All the patients were given psychological nursing intervention, the nursing care of patients before and after the intervention, ineluding positive and negative symptoms scale（PANSS）, nursing observation seale（NOSIE） and symptom self-assessment scale were observed. Results After intervention, the positive symptoms, negative symptoms and general psychopathology were significantly better than those before intervention, and the differences were statistieally signifieant（P 〈 0.05）. After intervention, the differenees were statistically significant（P 〈 0.05） before the intervention of somatization, interpersonal relationship, depression, communication, hostility, fear, psychosis, and positive items. There was no significant difference in physical compulsion and paranoia before and after intervention（P 〉 0.05）. After the intervention, the condition general estimate, the general negative factors, the general positive factors, social ability, social interest, individual delay in neat, irritability, delay and depression were significantly better than before, the difference was statistically signifieant（P 〈 0.05）. Conclusion For the convalescent schizophrenia patients to carry out psychological intervention based on nursing intervention, can effectively improve the mental health of patients, increase the patients＇ social function obviously, worthy of clinical promotion.
作者
朱紫颖
何卓玲
邓琴
桂小云
ZHU Ziying; HE Zhuoling; DENG Qin ;GUI Xiaoyun(Mental Hospital of Cuangzhou Civil Affairs Bureau, Cuangzhou 510430, China)
出处
《中国医药科学》
2018年第18期154-156,253,共4页
China Medicine And Pharmacy
关键词
精神分裂症
心理护理干预
康复期
应用
Schizophrenia
Psychological nursing intervention
Convalescence
Application
