自理模式在住院慢性精神分裂症患者护理中的应用研究  

Application study of self.care model in nursing of chronic schizophrenic inpatients

作　　者：李丽[1] 刘力军[2] 

机构地区：[1]河北省荣军医院一病区,保定071000 [2]河北省荣军医院四病区,保定071000

出　　处：《中华现代护理杂志》2008年第20期2161-2163,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨住院慢性精神分裂症患者自我护理的方案及其效果。方法将80例住院慢性精神分裂症患者，以最小不平衡指数分组法分为实验组和对照组，进行双盲对照，两组均采用常规抗精神病药物治疗和常规护理，实验组在此基础上增加自我护理，观察时间为6个月。在干预前后采用日常生活能力量表（ADL）对两组患者进行疗效评定。结果实验组日常生活能力评分与对照组比较在统计学上差异有统计学意义（P〈0．01）。结论在住院系统治疗的基础上，对住院慢性精神分裂症患者实施自我护理，能明显提高其自理能力和康复效果，有利于患者早日回归社会。Objective To explore the self-care project of chronic schizophrenic inpatients and its effect. Methods 80 chronic schizophrenic inpatients were divided into the experiment group and the control group according to the grouping method of minimization imbalance index. Then a double-blind comparison was conducted in the two groups. Both the two groups adopted the routine schizophrenic pharmacotherapy and the general nursing, and the experiment group additionally adopted the self-care on the before-mentioned basis. The observation lasted for 6 months. The ADL （ Activity of Daily Living Scale） was used to evaluate the curative effect of patients in the two groups before and after the intervention. Results The score of ADL in the experiment group had a statistical meaning compared to that of control group （P 〈 0. 01 ）. Conclusions On the basis of systematic hospitalization therapy, implementing the self-care among chronic schizophrenic inpatients can obviously improve their self-care ability and the rehabilitation effect, thereby helping the patients return to society early.

关 键 词：OREM自理模式 精神分裂症 自我护理 

分 类 号：R473.74[医药卫生—护理学]