摘要
目的探讨循证护理用于银屑病合并精神分裂症患者心理护理中对焦虑及抑郁情绪的影响。方法选取2020年1月至2021年8月广州市民政局精神病院收治的88例银屑病并精神分裂症患者作为研究对象,按照随机数字表法分为对照组与观察组,每组44例。对照组采用常规护理,观察组采用循证护理。比较两组护理前后心理状态变化[抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分]、自我感受负担[自我感受负担量表(SPBS)]、生命质量[生命质量指数(DLQI)]、护士用住院患者护理观察量表(NOSIE-30)评分。结果护理后,观察组SDS、SAS评分均低于对照组,差异有统计学意义(P<0.05)。护理后,观察组SPBS评分低于对照组,差异有统计学意义(P<0.05)。两组DLQI评分组间、时间、交互比较差异有统计学意义(P<0.05)。两组护理后DLQI评分低于前一时间点,差异有统计学意义(P<0.05);两组间DLQI评分护理前及护理后1个月比较差异无统计学意义,观察组护理后2、3个月均低于对照组,差异有统计学意义(P<0.05)。护理后,观察组社会能力、社会兴趣、个人整洁评分均高于对照组,激惹、精神病症状、退缩、抑郁评分均低于对照组,差异有统计学意义(P<0.05)。结论循证护理应用于银屑病合并精神分裂症患者,能改善患者焦虑、抑郁情绪、NOSIE-30量表评分,使其行为更为健康,优化感受负担能力,提高患者生命质量。
Objective To explore the impact of evidence-based nursing on anxiety and depression in psychological care of patients with psoriasis complicated with schizophrenia.Methods 88 patients with psoriasis and schizophrenia admitted to the Guangzhou Civil Affairs Bureau Mental Hos-pital from January 2020 to August 2021 were selected as the study subjects,they were divided into the control group and the observation group ac-cording to random number table method,with 44 cases in each group.The control group received routine care,while the observation group received evidence-based care.The changes in psychological status(self-rating depression scale[SDS],self-rating anxiety scale[SAS]),self perceived burden(self-perceived burden scale[SPBS]),quality of life(dermatology life quality index[DLQI]),and nurses'observation scale for inpatient evaluation(NOSIE-30)scores were compared between the two groups before and after nursing care.Results After nursing,the scores of SDS,SAS in the ob-servation group were lower than those in the control group,the differences were statistically significant(P<0.05).After nursing,the SPBS score in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).There were significant dif-ferences in DLQI scores between the two groups in terms of groups,time points and interaction(P<0.05);the DLQI scores after nursing of the two groups were lower than the previous time point,the differences were statistically significant(P<0.05);there were no significant differences in DLQI scores between the two groups before and 1 month after nursing,2 and 3 months after nursing,the DLQI scores in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After nursing,the social ability,social interest,and personal cleanliness scores in the observation group were higher than those in the control group,while the scores of irritability,psychiatric symptoms,with-drawal,and depression were lower than
作者
何婉仪
伍亮钊
罗春霞
林芸
HE Wanyi;WU Liangzhao;LUO Chunxia;LIN Yun(Department of Men's Third District,Guangzhou Civil Affairs Bureau Mental Hospital,Guangzhou,Guangdong,510430,China;Department of Treating Third District,Guangzhou Civil Affairs Bureau Mental Hospital,Guangzhou,Guangdong,510430,China;Department of Geriatric Ward,Guangzhou Civil Affairs Bureau Mental Hospital,Guangzhou,Guangdong,510430,China)
出处
《当代医学》
2024年第8期161-165,共5页
Contemporary Medicine
关键词
循证护理
银屑病
精神分裂症
焦虑
抑郁
Evidence-based nursing
Psoriasis
Schizophrenia
Anxiety
Depression
