摘要
目的：探讨循证护理对精神分裂症患者社会功能康复及生活质量的影响。方法：收集上海交通大学医学院附属精神卫生中心门诊收治的精神分裂症患者78例,按照随机数字表法分为对照组和试验组各39例。对照组患者予以常规护理模式,试验组在对照组的基础上予以循证护理,比较两组患者阳性以及阴性症状量表（PANSS）、康复状态量表（MRSS）、威斯康星卡片分类检测（WCST）、简明精神病量表（BPRS）、社会功能缺陷筛选量表（SDSS）、家庭负担会谈量表（FIS）、自知力和治疗态度问卷（ITAQ）评分。结果：与干预前相比,干预后3个月两组患者MRSS、一般精神症状以及PANSS阴性、阳性评分降低（t=9.006~47.588,P〈0.001）,ITAQ评分升高（t=-13.768^-4.187,P〈0.001）,FIS、BPRS以及SDSS评分降低（t=5.139~17.920,P〈0.001）,日常生活能力、社会适应能力以及社会技能评分升高（t=-25.766^-9.659,P〈0.001）,与对照组相比,试验组完成分类数、总应答数、持续性应答数、非持续性错误数较高、错误应答数、选择错误率、完成第一个分类所需时间应答数、持续性错误数、概念化水平百分数较低（t=-28.617~23.701,P〈0.001）,MRSS、一般精神症状以及PANSS阳性、阳性评分较低（t=-12.966^-4.931,P〈0.001）,ITAQ评分较高（t=8.221,P〈0.001）,FIS、BPRS以及SDSS评分较低（t=-10.227^-6.424,P〈0.001）,日常生活能力、社会适应能力以及社会技能评分较高（t=10.122~11.741,P〈0.001）。结论 ：精神分裂症患者予以循证护理能够显著促进认知功能康复,患者身心早日康复,改善社会功能。
Objective：To investigate the effect of evidence-based nursing on social function rehabilitation and quality of life in patients with schizophrenia.Methods：A total of 78 schizophrenic patients admitted to Mental Health Center affiliated to Shanghai JiaoTong University School of Medicine were selected and divided into the control group and the experiment group according to the random number table method,39 cases in each group.Patients in control group were given routine nursing.The experimental group were given evidence-based nursing on the basis of the control group.The positive and negative symptoms scale（PANSS）and rehabilitation status scale（MRSS）,Wisconsin card classification testing（WCST）,Card Sorting Test Brief Psychiatric Rating Scale（BPRS）,Social Function Defect Screening Scale（SDSS）,Family Interview Schedule（FIS）,Awareness and treatment attitude questionnaire（ITAQ score）were used and the data were compared between two groups.Results：Compared with before intervention,3 months after intervention,the MRSS,general mental symptoms,PANSS negative and positive scores of the two groups decreased（t=9.006~47.588,P〈0.001）,ITAQ score increased（t=-13.768^-4.187,P〈0.001）,FIS,BPRS,and SDSS scores decreased（t=5.139~17.920,P〈0.01）,daily life ability and social adaptation ability,the scores of social skills and social skills increased（t=-25.766^-9.659,P〈0.001）.Compared with the control group,the test group＇ total classification number,total answer,persistent reply number,non persistent error number,error response,error rate,time required to complete the first classification,number of persistent errors,percentage of the conceptual level were lower（t=-28.617~23.701,P〈0.001）,MRSS,general mental symptoms and PANSS positive,positive scores were lower（t=-12.966^-4.931,P〈0.001）,ITAQ score was higher（t=8.221,P〈0.001）,FIS,BPRS and SDSS were lower（t=-10.227^-6.424,P〈0.001）,and the daily living ability,social adaptability and social skills were higher�
作者
郁涛静
黄漪汶
许秋靓
陆燕华
YU Taojing;HUANG Yiwen;XU Qiuliang(Mental Health Center affiliated to Shanghai JiaoTong University School of Medicine,Shanghai 201108,China)
出处
《中国健康心理学杂志》
2018年第10期1445-1449,共5页
China Journal of Health Psychology
关键词
循证护理
精神分裂症
社会功能康复
生活质量
Evidence-based nursing
Schizophrenia
Social function rehabilitation
Quality of life
