医务社工参与康复护理对精神病患者的影响  

Effect of medical social workers involved in rehabilitation nursing on psychopath patients

作　　者：陈瑞莲 朱转娥 郑丽松 袁洁 周东胜 

机构地区：[1]广东省第三荣军医院精神科二区,广东博罗516157

出　　处：《中国医药导报》2015年第19期162-165,共4页China Medical Herald

基　　金：广东省惠州市科技计划项目(2013Y126)

摘　　要：目的：探讨医务社工参与康复护理对精神病患者的影响。方法选择2012年10月~2014年3月广东省第三荣军医院康复期精神病患者160例，患者在精神科常规护理的基础上增加医务社工辅助护理，共8周。采用阴性阳性症状量表（PANSS）、自知力和治疗态度问卷（ITAQ）、护士用住院患者观察量表（NOSIE）在干预前后对患者进行综合评定，并比较结果。结果干预前、后患者PANSS中阳性症状评分[（12.36±5.72）比（9.01±3.47）分]、阴性症状评分[（21.22±5.17）比（16.50±5.04）分]、精神病理评分[（22.65±5.98）比（18.82±5.80）分]及总分[（56.21±4.54）比（44.23±4.56）分]比较，差异均有高度统计学意义（P〈0.01）。 ITAQ评分干预前、后[（4.65±1.01））比（19.01±3.53分]比较，差异有高度统计学意义（P〈0.01）。干预前、后NOSIE中社会能力[（30.21±3.96）比（35.12±3.51）分]、社会兴趣[（12.71±2.01）比（21.32±2.02）分]、个人整洁[（19.76±4.05）比（27.31±4.36）分]、激惹[（7.81±2.14）比（4.65±2.11）分]、迟缓[（8.23±2.39）比（4.16±2.07）分]比较，差异均有统计学意义（P〈0.05），但抑郁因子比较[（1.04±0.37）比（0.71±0.25）分]，差异无统计学意义（P＆gt;0.05）。结论医务社工参与到精神患者的康复护理中有助于改善患者的精神症状，提高患者的自知力和患者社会功能的恢复。Objective To explore the effects of medical social workers involved in rehabilitation nursing on psychopath. Methods From October 2012 to March 2014 in the Third Invalides Hospital of Guangdong Province, 160 psychopath in rehabilitation period were selected, they were given assistant medical social workers nursing care based on the routine psychiatric nursing care, a total of 8 weeks. The negative and positive symptom scale （PANSS）, insight and treatment attitude questionnaire （ITAQ）, nurses observation scale for inpatient （NOSIE） were used to evaluated for the patients. Re-sults The positive symptom score [（12.36±5.72） v s （9.01±3.47） scores], negative symptom score [（21.22±5.17） v s （16.50±5.04） scores], mental pathology score [（22.65±5.98） vs （18.82±5.80） scores] and total scores [（56.21±4.54） vs （44.23±4.56） scores] in PANSS scores of patients before and after the intervention were compared, the differences were statisti-cally significant （P〈 0.01）. The ITAQ score before and after intervention [（4.65±1.01） v s （19.01±3.53） scores] were compared, the difference was statistically significant （P〈0.01）. Before and after the intervention, social ability [（30.21±3.96） v s （35.12±3.51）,] social interest [（12.71±2.01） v s （21.32±2.02） scores], individuals cleanliness [（19.76±4.05） v s （27.31±4.36） scores], irritation [（7.81±2.14） vs （4.65±2.11） scores], slow [（8.23±2.39） vs （4.16±2.07） scores] in NOSIE were compared, the differences were statistically significant （P〈0.05）, but no statistically significant difference in de-pression （P＆gt; 0.05）. Conclusion Medical social workers involved in psychopath in rehabilitation nursing is helpful to improve the mental symptoms, recovery of insight and social function of the patients.

关 键 词：医务社工 精神病患者 阴性阳性症状量表 自知力和治疗态度问卷 护士用住院患者观察量表 

分 类 号：R473.74[医药卫生—护理学]