人文关怀对精神分裂症患者康复疗效及社会功能的影响研究  

Study of influence of humanistic care on the rehabilitation effect and social function of patients with schizophrenia

作　　者：朱伟芳[1] 杨淑芬[1] 钟文凯[1] 付萍萍[1] 冯燕[1] 余小珍 

机构地区：[1]广东省惠州市第二人民医院心理科,广东惠州516001

出　　处：《中国当代医药》2015年第22期189-191,194,共4页China Modern Medicine

摘　　要：目的探讨人文关怀对精神分裂症患者康复疗效及社会功能的影响,为护理该类患者积累宝贵经验。方法选取本院于2010年5月~2012年2月收治的68例精神分裂症患者,设为对照组,采取常规精神病护理方法;选取本院于2012年5月~2014年2月收治的76例精神分裂症患者,设为研究组,在对照组基础上全程贯彻人文关怀理念。干预后分别采用社会功能缺陷筛选表（SDSS）、简明精神病评定量表（BPRS）、住院精神病人康复疗效评定量表（IPROS）对患者进行评分;比较两组患者的用药依从性、复发率和再住院率。结果干预后3、6、12个月,研究组患者的SDSS、BPRS及IPROS评分均低于对照组（P〈0.05）;干预1年后,研究组患者的服药依从性高于对照组,复发率与再住院率明显低于对照组（P〈0.05）。结论人文关怀能有效改善患者的精神状况,促进患者社会功能的回归,有利于患者早日康复。Objective To explore the influence of humanistic care on the rehabilitation effect and social function of patients with schizophrenia to accumulate valuable experience for nursing the patients. Methods 68 patients with schizophrenia treated in our hospital from May 2010 to February 2012 were chosen as control group,and given the rou-tine psychiatric nursing method;76 patients with schizophrenia treated in our hospital from May 2012 to February 2014 were chosen as the research group,and given implementation of the concept of humanistic care based on the control group.Social disability screening schedule （SDSS）,the brief psychiatric rating scale （BPRS）,inpatient psychiatric rehabili-tation rehabilitation outcome scale （IPROS） was used to score for patients,medication compliance,recurrence and rehos-pitalization rate of the patients between two groups was compared respectively. Results After 3 months,6 months,and 12 months intervention,SDSS,BPRS and IPROS score of patients in research group was lower than that in control group （P〈0.05） respectively; after 1 years intervention,medication compliance in patients of research group was higher than that of control group,recurrence and rehospitalization was significantly lower than that in control group respectively （P〈0.05）. Conclusion humanistic care can effectively improve the patients’mental status,promote the return to the society func-tion of patients,and it is conducive to the early recovery of patients.

关 键 词：人文关怀 精神分裂症 康复疗效 社会功能 

分 类 号：R749.3[医药卫生—神经病学与精神病学]