护理干预对康复期精神病患者心理问题及生存质量的效果研究  

A study of the effect of nursing intervention on psychological problems and quality of life in convalescent patients with mental disorders

作　　者：李凤玲[1] 高诚[1] 李秀玲[1] 

机构地区：[1]济宁市精神病防治院精神科,山东济宁272051

出　　处：《护理管理杂志》2005年第12期4-6,共3页Journal of Nursing Administration

摘　　要：目的探讨康复期精神病患者的心理健康水平,实施相应的护理对策对患者心理与生存质量的影响。方法在干预前和干预后1个月对93例康复期精神病患者以症状自评量表(SCL-90)和世界卫生组织生存质量量表简表(WHOQOL-BREF)进行评定并加以比较。结果康复期精神病患者SCL-90各因子分及阳性项目数显著高于全国常模。针对存在的躯体症状多、强迫症状、人际关系差、抑郁、焦虑等心理问题进行护理干预后,WHOQOL-BREF量表评分明显提高(P<0.05或P>0.01)。结论康复期精神病患者存在多方面的心理问题,采用以心理干预为主的综合护理,可改善患者的心理健康水平,提高患者的生存质量。Objective To determine the psychological status of convalescent patients with mental disorders,and to evaluate the effect of nursing intervention on their psychological status and quality of life. Method 93 cases were evaluated by SCL - 90 and WHOQOL-BREF before and after one month of the intervention. Data were compared. Results The factor scores and total score of SCL - 90 in the sample were significantly higher than those in domestic normal sample. After taking nursing interventions aimed at the patients＇ psychological problems such as complains of body symptom, compulsion, poor interpersonal relationship, depression and anxiety, the scores of factors in WHOQOL - BREF were increased significantly （ P 〈 0.05 or P 〈 0.01 ）. Conclusion There were various psychological problems in convalescent patients with mental disorders,comprehensive nursing care mainly including psychological intervention could improve their psychological status and quality of life.

关 键 词：康复期 精神病患者 心理问题 生存质量 护理干预 

分 类 号：R493[医药卫生—康复医学]