Roy适应模式在精神分裂症患者中的应用  

Roy adaptation model in patients with schizophrenia

作　　者：周永梅[1] 张蔚茹[1] 沈玉金[1] 

机构地区：[1]广州医科大学附属脑科医院成人精神科,广东广州510370

出　　处：《广州医学院学报》2014年第2期51-54,共4页Academic Journal of Guangzhou Medical College

摘　　要：目的:探讨Roy适应模式在住院精神分裂症患者中的应用价值。方法:将100例住院的精神分裂症患者随机分为对照组和研究组,各50例。对照组给予常规护理和健康教育,研究组在常规护理和健康教育基础上增加Roy适应模式的护理干预措施。6周后,采用应对-适应量表(CAPS)、汉密顿抑郁量表(HAMD)、汉密顿焦虑量表(HAMA)和护土用住院患者观察量表(NOSIE)进行评定。结果:干预后,研究组患者CAPS评分较对照组高;HAMD和HAMA评分较对照组低;NOSIE评分较对照组改善,两组比较,差异具有统计学意义(P<0.01)。结论:运用Roy适应模式对住院精神分裂症患者进行护理干预,可提高其对社会环境的适应能力,改善情绪,提高社会功能,有利于精神分裂症的治疗。Objective:To investigate the significance of Roy Adaptation Model in in-patients with schizophrenia.Methods:A total of 100 in-patients with schizophrenia were randomly allocated to be receive conventional care and health education alone(control group,n = 50) or in combination with RAM(treatment group,n- 50).We assessed the Condition by Response and Adaptation Scale(CAPS),Hamilton Depression Rating Scale(HAMD),Hamilton Anxiety Scale(HAMA) and Nurses' Observation Scale for Inpatient Evaluation(NOSIE) after 6 weeks of treatment.Results:The intervention with RAM resulted in incrased CAPS and NOSIE scores and reduced HAMD and HAMA scores compared with control group(all P < 0.01).Conclusion:The RAM is associated with improved social adaptation ability,mood and social function in the inpatients with schizophrenia.

关 键 词：精神分裂症 ROY适应模式 抑郁 焦虑 社会适应能力 

分 类 号：R449.1[医药卫生—诊断学]