摘要
目的探讨在量化评估指导下进行个性化护理干预对首发精神分裂症患者康复效果的影响。方法选取2017年3月~2019年5月我院住院的首发精神分裂症患者110例,采用随机数字表法分为两组,每组各55例。对照组行常规护理,观察组采用量化评估并指导个性化护理,干预6个月后采用阳性和阴性症状量表(PANSS)及社会回避和苦恼量表(SDAS)对两组患者康复情况进行评定,评估用药依从性。结果干预后两组PANSS分值及各维度分值均降低,观察组较对照组低;干预后两组高度依从率、部分依从率和不依从率比较,差异有统计学意义(P <0.05),观察组和对照组干预前后高度依从率、部分依从率和不依从率比较,差异均有统计学意义(P <0.05);两组SDAS总分及分量表分值均降低,且观察组较对照组低,差异有统计学意义(P <0.05)。结论量化评估指导个性化护理能有效提高首发精神分裂症患者用药依从性,改善其阴性及阳性症状,提高社交能力。
Objective To investigate the impacts of individualized nursing intervention guided by quantitative evaluation on the rehabilitation efficacy of patients with first-onset schizophrenia.Methods A total of 110 patients with first-onset schizophrenia admitted to our hospital from March 2017 to May 2019 were selected and divided into the observation group(n=55)and the control group(n=55)according to the random number table method.The control group was treated with routine nursing,while the observation group was treated by quantitative evaluation and guided individualized nursing.The positive and negative symptom scale(PANSS)and social avoidance and distress scale(SDAS)were used to evaluate the rehabilitation of the two groups after 6-month intervention,and the medication compliance was evaluated.Results After the intervention,PANSS scores and scores of all dimensions in the two groups decreased,while those in the observation group were lower than those in the control group.After the intervention,there were statistically significant differences in the high compliance rate,partial compliance rate and non-compliance rate between the two groups(P<0.05).There were significant differences in the high compliance rate,partial compliance rate and non-compliance rate between the observation group and the control group before and after intervention(P<0.05).The total SDAS scores and subscale scores of the two groups both decreased,the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Individualized nursing intervention guided by quantitative evaluation can effectively increase the medication compliance of patients with first-onset schizophrenia,improve their negative and positive symptoms,and raise their social competence.
作者
姜建茂
陈泽群
陈泽英
吴广兵
JIANG Jianmao;CHEN Zequn;CHEN Zeying;WU Guangbing(DepartmentⅡof Andrology,Psychiatric Hospital of Guangzhou Municipal Civil Affairs Bureau,Guangdong,Guangzhou 510430,China;DepartmentⅠof Male,Psychiatric Hospital of Guangzhou Municipal Civil Affairs Bureau,Guangdong,Guangzhou 510430,China;Rehabilitation Area,Psychiatric Hospital of Guangzhou Municipal Civil Affairs Bureau,Guangdong,Guangzhou 510430,China;Psychiatry Department,the Third People’s Hospital of Meizhou,Guangdong,Meizhou 514021,China)
出处
《中国医药科学》
2020年第17期146-149,共4页
China Medicine And Pharmacy
基金
广东省梅州市社会发展科技计划项目(2017B083)。
关键词
首发精神分裂症
量化评估
阳性和阴性症状
依从性
社交能力
First-onset schizophrenia
Quantitative evaluation
Positive and negative symptoms
Compliance
Social competence
