循证护理在精神分裂症患者康复中的应用  

Application of evidence-based nursing in rehabilitation of schizophrenic patients

作　　者：陈泽群 姜建茂 韦畅书 曹允贞 

机构地区：[1]广州市民政局精神病院救治一区,广东广州510407 [2]广州市民政局精神病院男一区,广东广州510407

出　　处：《中国当代医药》2017年第9期186-188,191,共4页China Modern Medicine

摘　　要：目的探讨循证护理在精神分裂症患者康复中的应用效果。方法选择2014年12月~2015年12月广州市民政局精神病院收治的精神分裂症患者112例,将其随机分为对照组和观察组,每组56例,对照组采用常规护理,观察组采用循证护理,采用阳性和阴性症状量表(PANSS)、社会功能缺陷量表(SDSS-1)评分。结果护理前两组患者PANSS阳性症状评分、PANSS阴性症状评分、一般精神病理评分比较,差异无统计学意义(P>0.05);护理后观察组患者PANSS阳性症状评分为(20.4±1.7)分,PANSS阴性症状评分为(10.2±1.5)分,显著优于对照组的(22.7±3.4)、(13.2±2.5)分(P<0.05)。护理前两组患者职业能力、社交能力、家庭功能、生活能力等各项评分比较,差异无统计学意义(P>0.05);护理后观察组患者职业能力[(0.2±0.1)分]、社交能力[(0.2±0.1)分]、家庭功能[(0.8±0.1)分]、生活能力[(0.8±0.2)分]等各项评分显著优于对照组(P<0.05)。结论循证护理在精神分裂症患者康复护理中的应用效果显著,值得临床推广。Objective To investigate＂ the effect of evidence-based nursing in the rehabilitation of patients with schizophrenia.Methods 112 cases of schizophrenia patients from December 2014 to December 2015 in Civil Affairs Bureau of Guangzhou city mental hospital,the patients were randomly divided into control group and observation group, 56 cases in each group,the control group was given routine nursing,the observation group was received evidence-based nursing,with positive and negative symptom scale （PANSS） and social function the defect scale （SDSS-1） score were used.Results The patients of two groups before nursiug,PANSS positive symptoms score, PANSS score of negative symptoms and general psychopathology score had no significant differences （P〉0.05）; the patients of observation group with PANSS positive symptom score after nursing was （20.4±1.7） points,and PANSS negative symptom score was （10.2±1.5） points,signifificantly better than those of control group of （22.7±3.4）, （13.2±2.5）points （P〈0.05）.The nursing of two groups before the occupation ability,sucia] ability,family function and life ability score had no significant difference （P〉 0.05）; patients in the observation group after the nursing occupation ability was （0.2±0.1）,social skills was （0.2±0.1）, family function was（0.8±0,1）,ability of daily life was （0.8±0.2） points,and the scores were significantly better than those of control group （P〈0.05）,Conelusion The application of evidence-based nursing in the rehabilitation nursing of patients with schizophrenia is significant,it is worthy of clinical promotion.

关 键 词：循证护理 精神分裂症 阳性和阴性症状量表 社会功能缺陷量表 

分 类 号：R749.3[医药卫生—神经病学与精神病学]