摘要
【目的】探讨护士主导下进行康复训练对住院精神分裂症患者心理状态、临床症状改善及生活质量的影响。【方法】选取2017年11月至2018年7月本院收治的70例精神分裂症患者,根据随机数表法将其分为观察组和对照组,每组各35例。对两组患者均进行药物治疗及心理护理,对照组患者进行常规康复训练指导,观察组患者在对照康复训练指导的基础上,采取护士主导下的康复训练,比较两组患者干预前后心理状态、临床症状及生活质量,并比较其对护理工作的依从性。【结果】干预后,两组患者HAMA、HAMD评分均显著低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。干预后,两组患者缺乏活力、焦虑忧郁、激活性、思维障碍及敌对猜疑维度评分均低于干预前,且观察组显著优于对照组,差异均有统计学意义(P<0.05)。干预后,观察组患者心理社会、动力/精力、症状/不良反应评分均低于对照组,差异有统计学意义(P<0.05)。观察组患者对治疗及护理依从率为94.29%(33/35),显著高于对照组的77.14%(27/35),其差异有统计学意义(χ^2=8.018,P=0.025<0.05)。【结论】对住院精神分裂症患者采用护士主导下康复训练干预措施,能够有效缓解患者不良心理状态,且在改善患者临床症状及生活质量方面也具有重要意义,值得推广。
【Objective】To explore the effect of nurse led rehabilitation training on mental state,clinical symptoms and quality of life of inpatients with schizophrenia.【Methods】Seventy patients with schizophrenia admitted to our hospital from November 2017 to July 2018 were selected and randomly divided into observation group and control group,35 cases in each group.Both groups were treated with medication and psychological nursing.The control group was given routine rehabilitation training guidance,while the observation group was given rehabilitation training guided by nurses on the basis of the control rehabilitation training guidance.The psychological status,clinical symptoms and quality of life of the two groups before and after the intervention were compared,and their compliance with nursing work was compared.【Results】After the intervention,HAMA and HAMD scores of the two groups were significantly lower than those before the intervention,and the observation group was lower than the control group,the differences were statistically significant(P<0.05).After the intervention,the scores of lack of vitality,anxiety and depression,activation,thinking disorder and hostile suspicion of the two groups were lower than before intervention,and the observation group was significantly better than the control group,the differences were statistically significant(P<0.05).After the intervention,the scores of psychosocial,dynamic/energetic and symptom/adverse reactions in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The treatment and nursing compliance rate of the observation group was 94.29%(33/35),which was significantly higher than 77.14%(27/35)of the control group,and the difference was statistically significant(χ^2=8.018,P=0.025<0.05).【Conclusion】The nursing led rehabilitation training intervention for inpatients with schizophrenia can effectively alleviate the bad psychological state of patients,and it is also of great significance in impr
作者
杨伟波
戴进军
虞建英
罗尧岳
蒋小剑
刘娟
YANG Wei-bo;DAI Jin-jun;YU Jian-ying(Department of Psychiatry,Hunan Brain Hospital,Changsha 410007,Hunan)
出处
《医学临床研究》
CAS
2020年第8期1124-1127,共4页
Journal of Clinical Research
基金
宁夏回族自治区重点研发计划项目(2019BFG02023)
湖南省医药卫生科研项目(B2016025)
湖南省脑科医院院级课题(2017D05)。
关键词
精神分裂症/护理
护理工作
生活质量
Schizophrenia/NU
Nursing Services
Patient Compliance
Quality of Life
