摘要
目的研究不同程度病情脑器质性精神障碍患者接受一病一优护理模式的干预效果。方法选取2018年12月~2019年11月我院收治的78例脑器质性精神障碍患者作为主要对象,采用随机数字表法将其分为两组,每组各39例。予以对照组常规护理,观察组行一病一优护理,比较两种护理模式的干预效果,同时比较不同程度病情脑器质性精神障碍接受一病一优护理的干预效果。结果入院时两组患者的抑郁情绪评分、一般自我效能评分比较,差异无统计学意义(P>0.05);护理后两组的抑郁情绪和一般自我效能较入院时均有明显改善,且观察组患者护理后的汉密尔顿抑郁量表评分低于对照组,且一般自我效能评分高于对照组,差异有统计学意义(P<0.05);护理后,观察组患者的生活质量评分显著高于对照组,差异有统计学意义(P<0.05);通过比较不同程度病情脑器质性精神障碍患者治疗后的汉密尔顿抑郁量表减分率,发现入院2周轻度患者与中度患者的汉密尔顿抑郁量表减分率均高于重度患者,入院4周轻度、中度和重度患者的汉密尔顿抑郁量表减分率比较,差异无统计学意义(P>0.05)。结论对脑器质性精神障碍患者实施一病一优护理更有利于改善患者的抑郁情绪,提高患者的自我效能,从而改善患者的生活质量,此种护理模式对轻度和中度脑器质性精神障碍患者尤为有效,可用于患者的早期护理,值得在临床上进一步推广应用。
Objective To research the intervention efficacy of a disease-first-care model for patients with brain organic mental disorder with different degrees of illness.Methods A total of 78 patients with organic mental disorder admitted to our hospital from December 2018 to November 2019 were selected as the main subjects,and they were divided into the observation group(n=39)and the control group(n=39)according to the random number table method.The control group was given conventional nursing,while the observation group was given a disease-first-care model.The intervention efficacies of the two nursing models were compared,and the intervention efficacies of a diseasefirst-care model for brain organic mental disorder with different degrees of illness were also compared.Results There were no statistically significant differences in depression score and general self-efficacy score between the two groups of patients at admission(P>0.05).After nursing,the depression and general self-efficacy of the two groups were significantly improved compared with those at admission,and the scores of Hamilton depression scale in the observation group after nursing were lower than those in the control group,and the scores of general self-efficacy were higher than those in the control group,with statistically significant differences(P<0.05).After nursing,the quality of life(QoL)scores of patients in the observation group were significantly higher than those in the control group,with statistically significant differences(P<0.05).It was found that the score reduction rates of Hamilton depression scale in mild and moderate patients were higher than those of severe patients in 2 weeks after admission and the score reduction rates of Hamilton depression scale in patients with brain organic mental disorder with different degrees of illness after treatment were compared.However,there was no significant difference between the score reduction rates of mild,moderate and severe patients in 4 weeks after admission(P>0.05).Conclusion Implementing a disease-first-care model for patients with brain organic mental disorder is more conducive to improving their depression and self-efficacy,thus improving their QoL.This nursing model is particularly effective for patients with mild and moderate brain organic mental disorder,and can be used for early nursing of patients,which is worthy of further promotion and application in clinical practice.
作者
陈美仙
冯银解
陈宇丽
刘文婷
CHEN Meixian;FENG Yinjie;CHEN Yuli;LIU Wenting(Department V of Psychiatry,the 3rd People's Hospital of Jiangmen,Guangdong,Jiangmen 529000,China)
出处
《中国医药科学》
2020年第22期130-133,共4页
China Medicine And Pharmacy
基金
广东省江门市医疗卫生领域科技计划项目(2020YLE029)。
关键词
一病一优护理模式
脑器质性精神障碍
负面情绪
自我效能
生活质量
A disease-first-care model
Brain organic mental disorder
Negative emotion
Self-efficacy
Quality of life
