摘要
目的探讨循证护理对改善精神分裂症患者冲动行为的临床效果。方法选取2018年8月-2020年2月广东省潮州市第三人民医院收治的精神分裂症患者100例,根据入院顺序随机分为对照组和观察组,每组各50例。对照组患者采用精神科常规护理,观察组患者则采用循证护理干预。2个月后,使用护士用住院患者观察量表(NOSIE)激惹因子对患者冲动行为进行评价和比较,并记录两组患者的冲动行为发生率。结果干预后,两组患者各项激惹因子评分均低于干预前,差异均有统计学意义(P<0.05);观察组各项激惹因子得分均低于对照组,差异均有统计学意义(P<0.05)。观察组冲动行为发生率低于对照组,差异有统计学意义(χ^(2)=16.327,P=0.000)。结论应用NOSIE激惹因子对精神分裂症患者的冲动行为进行评价能够较好地反映激惹情绪,有助于进一步对其冲动行为预测并及时采取有效干预。循证护理干预能有效控制和改善精神分裂症患者的冲动行为,值得临床推广应用。
Objective To explore the clinical effect of evidence-based nursing on improving the impulsive behavior of patients with schizophrenia. Methods A total of 100 patients with schizophrenia admitted to the Third People’s Hospital of Chaozhou City,Guangdong Province from August 2018 to February 2020 were selected and randomly divided into control group and observation group according to the order of admission with 50 cases in each group. Patients in the control group received routine psychiatric nursing,while patients in the observation group received evidence-based medicine based nursing intervention. Two months later,the provocative factors of nurses’ observation scale inpatient evaluation(NOSIE)were used to evaluate and compare the patients’ impulsive behavior,and the incidence of impulsive behavior of patients was recorded. Results After the intervention,the scores of various provocative factors of the two groups were lower than those before the intervention,and the differences were statistically significant(P<0.05);the scores of various provocative factors in the observation group were lower than those in the control group,and the differences were statistically significant(P <0.05). The incidence of impulsive behavior in the observation group was lower than that in the control group,and the difference was statistically significant(χ^(2)=16.327,P =0.000). Conclusion The application of provocative factors of NOSIE to evaluate the impulsive behavior of schizophrenic patients could better reflect the irritable emotion,which was helpful to further predict their impulsive behavior and take effective intervention in time. Evidence-based nursing intervention could effectively control and improve the impulsive behavior of patients with schizophrenia,which was worthy of clinical application.
作者
陈晓霞
陈瑞锦
康少萍
CHEN Xiao-xia;CHEN Rui-jin;KANG Shao-ping(Department of Psychiatry,the Third People's Hospital of Chaozhou City,Guangdong Province,Chaozhou Guangdong Province 521000,China)
出处
《中国城乡企业卫生》
2021年第4期1-3,共3页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
循证护理
精神分裂症
冲动行为
护士住院患者观察量表
Evidence-based nursing
Schizophrenia
Impulsive behavior
Nurses’observation scale inpatient evaluation
