摘要
目的探讨基于IKAP理论的护理模式在精神分裂症合并代谢综合征(MS)患者中的应用价值。方法将100例精神分裂症合并代谢综合征患者按照随机数字表法分为研究组和对照组,各50例。对照组给予传统护理,研究组在对照组基础上给予基于IKAP理论的护理模式干预,观察3个月。比较干预前及干预3个月两组患者糖脂代谢参数(体质量、腰围、空腹血糖、三酰甘油)、精神分裂症患者生活质量量表(SQLS)评分、简明精神病量表(BPRS)评分。结果干预3个月,研究组患者三酰甘油下降水平较干预前降低,对照组患者体质量、腰围较干预前增加(P<0.05或0.01),两组其余指标较干预前均无明显变化(P>0.05);干预3个月,研究组患者体质量及空腹血糖、三酰甘油水平低于对照组,腰围小于对照组(P<0.05或0.01)。干预3个月两组患者SQLS评分较干预前升高,研究组高于对照组(P<0.01)。干预3个月两组患者BPRS评分较干预前降低,研究组低于对照组(P<0.01)。结论对精神分裂症合并MS患者,给予基于IKAP理论的护理模式干预,有助于改善患者的精神症状及糖脂代谢状况,促进患者恢复,提高其生活质量。
Objective To explore the application value of nursing models based on the Information,Knowledge,Attitude,and Practice(IKAP)theory in patients with schizophrenia complicated by metabolic syndrome(MS).Methods One hundred schizophrenics with the MS were divided into research and control group according to random number table method,with 50 cases in each.Controls received traditional nursing care and research group did nursing intervention model based on IKAP theory on the basis of control group for 3 months.Such indexes were compared between two groups as glucolipid metabolism parameters(weight,waist circumference[WC],fasting blood glucose[FBG],triglycerides)and scores on the Schizophrenia Quality of Life Scale(SQLS)and Brief Psychiatric Rating Scale(BPRS)before intervention and after 3 month intervention.Results After 3 month intervention triglycerides level lowered compared with pre-intervention in research group,body mass and WC increased in control group(P<0.05 or 0.01),and there were no significant change in other indicators in both groups compared with pre-intervention(P>0.05);after 3 month intervention body mass,FBG and triglycerides levels were lower and WC was smaller in research than control group(P<0.05 or 0.01).After 3 month intervention the SQLS scores of both groups elevated compared with pre-intervention and that was higher in research than control group(P<0.01).After 3 month intervention the BPRS scores of both groups lowered compared with pre-intervention and that was lower in research than control group(P<0.01).Conclusion Nursing intervention model based on the IKAP theory is helpful to improve mental symptoms and glucolipid metabolism status, promotepatients' recovery,and improve quality of life for schizophrenics with MS.
作者
杨薇薇
高帅
李峰
尹竹芳
付美华
Yang Weiwei;Gao Shuai;Li Feng;Yin Zhufang;Fu Meihua(Guangzhou Mental Hospital of Civil Affairs Bureau,Guangzhou 528200,Guangdong,China)
出处
《临床心身疾病杂志》
CAS
2024年第1期128-132,共5页
Journal of Clinical Psychosomatic Diseases
基金
广州市民政局精神病院康宁科研项目(编号KN2022012)。
