“以人为本”护理方法在接受保护性约束的精神病女患者中的效果评价  

People-oriented nursing care for female protectively restrained patients with mental disorders

作　　者：林雁芬 杨勇[1] 

机构地区：[1]广州市脑科医院,518000

出　　处：《国际医药卫生导报》2016年第12期1809-1812,共4页International Medicine and Health Guidance News

摘　　要：目的探讨“以人为本”的人性化护理方法应用于精神病女患者保护性约束的可行性及实施效果。方法将80例精神科女患者随机分干预组与对照组，各40例，均采用常规保护性约束及基础护理，干预组增加人性化护理方案，包括环境改善、有效沟通以及生活行为指导、策划并组织丰富多彩的工娱活动等，采用国际公认标准田氏住院精神患者康复疗效评定量表（IPROS）评定干预前后效果及两组差异性。结果干预前两组IPROS评分差异无统计学意义（P〉0．05）；干预后干预组得分明显下降，两组差异有显著统计学意义（P〈0．01）；干预后干预组不良反应情绪、肢体功能损伤发生率明显低于对照组，差异有统计学意义（P〈0．05）；干预组对保护性约束理解程度、治疗依从性及评价护理满意度等人数均多于对照组，差异有显著统计学意义（P〈0．01）。结论“以人为本”的人性化护理方法应用于精神病女患者保护性约束可降低患者IPROS分值，有效缓解紧张情绪，增强对保护性约束的理解与遵医行为，减少主观不适感及肢体功能损伤率，提高患者生活质量。Objective To explore the feasibility and effect of people-oriented nursing care for female protectively restrained patients with mental disorders. Methods 80 female patients with mental disorders were randomly divided into an intervention group and a control group, 40 cases for each group. Both groups were routinely and protectively restrained and basicly cared; in addition, the intervention group were people- orientedly care： improving environment, effectibe communication, life behavior guiding, planning and organizing recreational activities. IPROS was used to evaluate the effects before and after the intervention in both groups. Results There was no significant difference in IPROS score before the intervention（P〈0.05） but was after （P〈0.05） between these two groups. The incidences of adverse emotion and limb function deficit were significantly lower and the understanding degree of protective restraint, treatment compliance, and nursing satisfaction degree were higher in the intervention group than in the control group （P〈0.05）. Conclusion People-oriented nursing care for female protectively restrained patients with mental disorders can reduce IPROS value, effectively alleviate the patient＇s nervous mood, strengthen the understanding of protective restraint and compliance behavior, reduce the subjective discomfort and limb function damage rate, and improve the patients＇ quality of life.

关 键 词：“以人为本” 精神病 保护性约束 效果评价 

分 类 号：R473.74[医药卫生—护理学]