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目的:研究精神分裂症患者康复期综合护理干预措施的临床疗效。方法:选择2015年1月1日-2015年12月31日绍兴市第七人民医院精神科女病区收治的精神分裂症女性患者232例为研究对象。常规组112例给予常规护理措施,综合组120例给予系列个体化综合护理干预措施。在入组后开始记录NOSIE、BPRS、IPROS和ADL等调查表,研究患者临床疗效。结果:在分组干预护理前,两组患者的躯体生活自理能力和工具性日常自理能力对比无显著性差异(P<0.05);在干预护理后,综合组患者的躯体生活自理能力和工具性日常自理能力与常规组对比,有明显统计学差异(P<0.05),说明综合干预护理可以显著改善精神分裂症患者的病情作用;在干预护理后,综合组患者的生活能力、社交能力、卫生讲究能力、工疗情况和兴趣与关心与常规组对比,有明显统计学差异(P<0.05);在干预护理后,综合组患者的思维障碍、敌对猜疑、缺乏活动和焦虑抑郁4个病情情况与常规组对比,两组差异显著(P<0.05);在干预护理后,综合组患者的总积极因子和总消极因子情况与常规组对比,两组差异显著(P<0.05),暗示认知行为护理干预有显著效果。结论:对精神分裂症患者采用综合护理干预可以有效提高其临床病情,且疗效突出,有效改善患者生活质量。
Objective: To study the clinical efficacy of comprehensive nursing intervention in convalescent patients with schizophrenia. Methods: A total of 232 schizophrenic women admitted in the Psychiatric ward of the Seventh People’s Hospital of Shaoxing City from January 1, 2015 to December 31, 2015 were selected as the research object. Conventional group of 112 patients given routine care, comprehensive group of 120 patients given a series of individualized comprehensive nursing interventions. After enrollment, record the NOSIE, BPRS, IPROS and ADL questionnaires to study the clinical efficacy of the patients. Results: Before the intervention of group intervention, there was no significant difference between the two groups in physical self-care ability and daily self-care ability (P <0.05). After the intervention nursing, the self-care ability and instrumental routine (P <0.05), indicating that comprehensive intervention nursing can significantly improve the role of patients with schizophrenia; after intervention in nursing, comprehensive group of patients with ability to live, social skills, health stress (P <0.05). After intervention nursing, there were no significant differences between the four groups in terms of ability of thinking, treatment, interest and care, and anxiety and depression Compared with the conventional group, the difference between the two groups was significant (P <0.05). After intervention nursing, the total positive factor and total negative factor in the comprehensive group were significantly different from those in the conventional group (P <0.05), suggesting that the cognitive behavior Nursing interventions have a significant effect. Conclusion: The comprehensive nursing intervention for schizophrenia patients can effectively improve their clinical condition, and the curative effect is outstanding, effectively improving the quality of life of patients.