临床护理路径对首发精神分裂症患者康复效果的随访研究  

The Follow-up Study of Rehabilitation of Clinical-nursing Pathway to First Episode Schizophrenia

作　　者：刘琳[1] 岳淑英[1] 胡春风[1] 刘文果[1] 

机构地区：[1]山东省济宁市精神病防治院,272051

出　　处：《国际护理学杂志》2007年第9期908-911,共4页international journal of nursing

摘　　要：目的探讨临床护理路径对首发精神分裂症患者的康复效果。方法将96例首发精神分裂症患者随机分为观察组和对照组各48例,脱落8例。两组均予以利培酮系统治疗,观察组在此基础上制订临床护理路径实施方案,执行各项康复护理程序,疗程均为8w,随后对两组患者进行了为期1年的随访。采用阴性和阳性症状评定量表（PANSS）、住院病人护士观察量表（NOSIE-30）和复发率对康复效果进行评估。结果随访结束时,观察组PANSS总分、阳性症状及阴性症状的减分值分别为50.63±13.92、18.80±5.87、14.37±5.64,均明显高于对照组的41.38±13.77、15.49±6.43、8.90±5.09（t=3.13、2.52、4.78,P〈0.05或P〈0.01）;观察组积极因素、消极因素及总评分的减分值分别为-38.67±10.26、30.51±13.18、-68.52±15.37,亦均明显高于对照组的-6.47±11.28、7.02±14.39、-11.06±21.78（t=13.99、7.97、14.24,P〈0.01）;观察组1年内的复发率为13.3%,明显低于对照组的34.9%（χ^2=5.62,P〈0.05）。结论临床护理路径有助于改善首发精神分裂症患者的精神症状,提高其社会功能,降低其复发率。Objective To explore the rehabilitation of clinical-nursing pathway to first episode schizophrenia.Methods 96 patients with first episode schizophrenia were randomly divided into the observe group（48） and the control group（48）. They were treated with risperidone and the patients of the observe group were given clinical-nursing pathway. The study was conducted for 8 weeks and followed up one year and was evaluated with the Positive and Negative Symptoms Scale （PANSS）, Nurse Observation Scale for Inpatient Evaluation-30 （NOSIE-30） and the relapse rate.Results 88 subjects had completed the trial. There were significant difference between the observe group and the control group in the total PANSS score, positive symptoms score, negative symptoms score before and after the treatment （P〈0.05 or P〈0.01）.There were significant difference between the two groups in the positive factors scores, the negative factors scores and the total score. The relapse rate of the observe group （13.3%） was lower than that of the control group （34.9%）, there was significant difference （P〈0.05）.Conclusion Clinical-nursing pathway to first episode schizophrenia could improve psychiatric symptoms and social functions and lower the relapse rate.

关 键 词：临床护理路径 精神分裂症 首次发病 康复 随访研究 

分 类 号：R473[医药卫生—护理学]