摘要
目的探究以时间护理为基础的综合护理干预模式在提高精神分裂症患者疗效、改善其预后中的作用。方法将选取的84例精神分裂症患者按照随机数字表法分为试验组和对照组，每组42例。试验组予以时间护理为基础的综合措施进行干预，对照组则采用常规护理，周期1个月。干预前后，以简明精神量表（BPRS）评价疾病严重程度，日常生活活动能力量表（ADL）和社会功能缺陷筛查量表（SDSS）评价社会生活能力。并调查护理满意度，记录住院时间及疾病复发情况。结果干预后，试验组BPRS评分、ADL评分、SDSS评分分别为（31．50±4．23）、（89．37±8．16）、（6．65±2．02）分，与对照组的（45．43±5．62）、（81．03＋5．92）、（8．96±2．26）分比较差异有统计学意义（t=2．361、2．047、2．206，均P〈0．05）。试验组护理满意度为95．24％（40／42），对照组为80．95％（34／42），2组比较差异有统计学意义（x2=6．892，P=0．028）。试验组的住院时间为（42．86±6．21）d，明显少于对照组的（67．49＋7．65）d，差异有统计学意义（t=2．253，P=0．021）。出院后，试验组和对照组病情复发率分别为4．76％（2／42）、23．81％（10／42），差异有统计学意义（x2=7．437，P=0．024）。结论基于时间护理的综合护理干预模式，可有效改善精神分裂症患者病情，提高生活能力，且护理满意度高、住院时间少、复发率低，值得在临床护理中推广。
Objective To explore the effect of the model of comprehensive nursing interventions based on time nursing in improving therapeutic effects and prognosis of patients with schizophrenia. Methods A total of 84 cases of patients with schizophrenia were selected and were divide into two groupsby the random number table--an experimental group and a control group, both of which were 42 cases. The model of comprehensive nursing interventions based on time nursing was adopted in the experimental group and routine nursing was given to the control group until their discharge. Before and after the interventions, the Brief Psychiatric Rating Scale（BPRS） was used to evaluate the severity of the disease. The Activities of Daily Living（ADL） and the Social Disability Screening Schedule（SDSS） were used to evaluate the patients＇ abilities of daily living and social skills. After the interventions, a satisfaction survey was conducted. Hospitalization time and disease recurrence of the two groups were observed. Results After the interventions,BPRS scales, ADL scales and SDSS scales were （31.50±4.23）, （89.37 ± 8.16）, （6.65 ± 2.02） points in experimental group, and （45.43 ± 5.62）, （81.03 ± 5.92）, （8.96 ± 2.26） points in control group, the differences are statistically significant （t =2.361, 2.047, 2.206, P〈0.05）.The rates of satisfaction of the two groups was 95.24% （40/42） and 80.95% （34/42）, and there was significant difference（X2=6.892,P〈0.05）. Hospitalization time was respectively （42.86±6.21）d and （67.49±7.65）d in experimental group and control group, and and there was significant difference（t=2.253, P〈0.05）. Disease recurrence was respectively4.76%（2/42） and 23.81%（10/42）,and there was significant difference（x2=7.437, P=0.024）. Conclusions The model of time nursing, with higher satisfaction level, shorter hospitalization time, and lower recurrence rate, can significantly improve the symptoms of patients with schizophrenia and enhance their self-care and social life abilities. It is worth popularizing in clinical nursing.
作者
陈金钗
谢海燕
陈玉芳
Chen Jinchai Xie Haiyan Chen Yufang.(Section Five, Mental Health Hospital, Minqing County, Fuzhou 350800, Chin)
出处
《中国实用护理杂志》
2017年第26期2036-2039,共4页
Chinese Journal of Practical Nursing
关键词
精神分裂症
时间护理
干预
Schizophrenia
Time nursing
Intervention
