华生关怀理论对慢性精神分裂症患者认知功能和生活质量的应用研究  

Application research of Watson caring improving cognitive function and life quality in patients with chronic schizophrenia

作　　者：王颖[1] 侯先芹[1] 张素娟[1] 惠李[2] 台勇[2] 

机构地区：[1]温州医科大学附属康宁医院护理部,浙江温州325000 [2]温州医科大学附属康宁精神卫生研究所,浙江温州325000

出　　处：《中国现代医生》2016年第3期153-156,160,共5页China Modern Doctor

基　　金：浙江省温州市公益性科技计划项目(Y20140472;Y20140478);浙江省医药卫生科技计划项目(2015KYB368);浙江省温州市医药卫生科学研究项目(2015B21;2015B22)

摘　　要：目的研究华生关怀理论对慢性精神分裂症患者认知功能和生活质量的应用。方法选择我院2014年9～12月入院的慢性精神分裂症患者200例,采用随机数字表法分为研究组和对照组各100例。研究组予常规护理同时运用华生理论制定的特别措施进行人文关怀护理,对照组予常规护理。采用简明蒙特利尔认知评估（Mo CA）量表、生活质量量表（WHOQOL-100）以及精神分裂症患者生存质量量表（SQLS）于干预后1个月、3个月（不足3个月选用出院时）、出院后3个月测评,评估两组患者的认知功能和生活质量。结果干预后3个月和出院后3个月两组患者的Mo CA评分均有增长,研究组的评分均高于对照组,差异有统计学意义;WHOQOL-100评分两组均有统计学差异,研究组的评分均高于对照组;SQLS总分和心理社会量表评分研究组均高于对照组,差异有统计学意义。结论应用华生关怀理论的护理措施在提高慢性精神分裂症患者认知功能和生活质量方面效果明显,值得临床护理借鉴和推广。Objective To study the Watson caring theory in cognitive function and quality of life in patients with chronic schizophrenia. Methods Retrospective 100 hospitalized patients with chronic schizophrenia from September to December 2014 were randomly divided into the study group and control group. The study group used routine care while the use of special measures of Watson theory developed humanistic nursing care. The control group used routine care.The explicit Montreal Cognitive Assessment（Mo CA） Scale, Quality of Life Scale（WHOQOL-100）, and the Quality of Life in patients with schizophrenia（SQLS） were applied a month, three months（less than three months chosen the time after hospital discharge）,and three months after discharge evaluation, assessment of cognitive function and quality of life between the both groups were evaluated. Results The Mo CA scores of both two groups increased three months after the intervention and discharged three months later. The scores in the study group were higher significantly; WHOQOL-100 rating scores of two groups were different statistically significant,while the score in the study group was higher than that in the control group; SQLS rating scale total score and psychosocial score of study group were higher, the difference was statistically significant. Conclusion The application of Watson caring nursing theory in improving cognitive function and quality of life in chronic schizophrenic patients have significant effect, it is worth learning and promotion of clinical care.

关 键 词：华生关怀理论 精神分裂症 认知功能 生活质量 

分 类 号：R473.74[医药卫生—护理学]