住院精神病患者锥体外系副反应的观察及舒适护理效果评价  

Observation of extrapyramidal side effects in hospitalized psychiatric patients and evaluation of comfort nursing effect

作　　者：吴春香 

机构地区：[1]梅州市第三人民医院,514000

出　　处：《中国实用医药》2017年第18期144-147,共4页China Practical Medicine

摘　　要：目的观察和评价舒适护理对住院精神病患者锥体外系副反应的护理效果。方法 61例发生锥体外系副反应的精神病患者为研究对象,随机分为研究组(31例)和对照组(30例)。两组患者均按医嘱给予相应药物对症治疗和(或)减量观察及基础护理,对照组给予常规护理,研究组在常规护理的基础上给予舒适护理。比较两组患者锥体外系副反应的发生情况、锥体外系副反应量表(RESES)评分、社会功能缺陷筛选量表(SDSS)评分、护理满意度。结果护理4周末,两组患者的锥体外系副反应发生率及RESES总分均较本组护理前降低,且研究组锥体外系副反应发生率9.7%显著低于对照组36.7%,研究组RESES总分(11.4±1.2)分显著低于对照组(12.8±1.4)分,差异均具有统计学意义(P<0.05或0.01)。护理4周末,研究组SDSS总分及与病友交往退缩、生活自理能力较差、护理兴趣活动贫乏、无责任心因子分均低于对照组,差异均具有统计学意义(P<0.05或0.01)。两组患者的较少参与护理康复训练因子分比较,差异无统计学意义(P>0.05)。研究组患者满意度为96.8%,家属满意度为93.6%,均高于对照组的76.7%、73.3%,差异均具有统计学意义(P<0.05)。结论在对症治疗的基础上,舒适护理对减轻症状、改善社会功能和提高满意度有较好的效果。Objective To observe and evaluate the nursing effect of comfort nursing on extrapyramidal side effects in hospitalized psychiatric patients. Methods A total of 61 psychiatric patients with extrapyramidal side effects as study subjects were randomly divided into research group（31 cases） and control group（30 cases）. Both groups received corresponding drugs for symptomatic treatment and/or decrement observation and basic care, and the control group received conventional nursing. The research group also received comfort nursing. Comparison were made on occurrence of extrapyramidal side effects, rating scale for extrapyramdal side effects（RESES） score, social disability screening schedule（SDSS） score and nursing satisfaction in two groups. Results At the end of 4 weeks of nursing, both groups had lower incidence of extrapyramidal side effects and total RESES score than before nursing, and the research group had significantly lower incidence of extrapyramidal side effects as 9.7% than 36.7% in the control group. The research group had significantly lower total RESES score as（11.4±1.2） points than（12.8±1.4） points in the control group, and the difference had difference had statistical significance（P〈0.05 or 0.01）. At the end of 4 weeks of nursing, the research group had lower total SDSS score, social withdrawal, poor self-care ability, lack of interest in nursing activities and irresponsible factor points than the control group, and their difference had statistical significance（P〈0.05 or 0.01）. Both groups had no statistically significant difference in less participation in nursing rehabilitation training factor points（P〈0.05）. The research group had higher satisfaction degree as 96.8% and family satisfaction as 93.6% than 76.7% and 73.3% in the control group, and their difference had statistical significance（P〈0.05）. Conclusion On the basis of symptomatic treatment, comfort nursing shows good effect in reducing symptoms, improve social function and satisfaction degree.

关 键 词：住院精神病患者 锥体外系副反应 心理护理 舒适护理 

分 类 号：R473.74[医药卫生—护理学]