自我角色认同护理对精神分裂症合并糖尿病患者激越行为及社会交往的影响  

Effects of self-role recognition nursing on the agitation behavior and social interaction in schizophrenic patients with diabetes mellitus

作　　者：郁京萍[1] 蒋菊芳[2] 姚惠珍[1] 文金宁[1] 

机构地区：[1]江苏省无锡市精神卫生中心精神一科,214151 [2]江苏省无锡市精神卫生中心开放科,214151

出　　处：《中华现代护理杂志》2018年第2期138-142,共5页Chinese Journal of Modern Nursing

基　　金：无锡市医院管理中心医学科研项目（2015YGZXM1558）

摘　　要：目的 探讨自我角色认同护理对精神分裂症合并糖尿病患者激越行为及社会交往的影响.方法 选取2014年10月—2016年10月在江苏省无锡市精神卫生中心进行治疗的精神分裂症合并糖尿病患者98例作为研究对象,根据随机数字表法将患者随机分为对照组和研究组,每组49例.对照组给予常规护理干预,研究组给予自我角色认同护理干预,干预6个月.比较两组患者的空腹血糖水平和餐后2 h血糖,采用激越行为量表（CMAI）评价患者的激越行为,采用社交技能量表（SSC）和社会适应能力评价量表（SAFE）评价患者的社会交往能力,采用阴性和阳性量表（PANSS）评价患者的精神状况.本研究数据采用SPSS 19.0统计软件进行统计分析,计量资料采用t检验,计数资料采用χ2检验.结果 干预前两组患者空腹血糖和餐后2 h血糖水平差异无统计学意义（P〉0.05）;干预后,研究组患者的空腹血糖和餐后2 h血糖水平均低于对照组,差异均有统计学意义（P〈0.01）;干预后,对照组患者的躯体性攻击行为、躯体性非攻击行为、语言性激越行为以及CMAI总分分别为（16.4±3.7）、（31.5±4.9）、（25.2±4.5）、（73.1±4.5）分,研究组得分分别为（11.8±3.2）、（24.1±5.3）、（17.5±4.2）、（53.4±4.7）分,两组干预后比较差异有统计学意义（t值分别为7.268、8.617、8.561、15.341;P〈0.01）;与干预前相比,干预后两组患者的SSC量表、SAFE量表评分均降低,且研究组患者的SSC量表、SAFE量表评分均低于对照组,差异均有统计学意义（P〈0.01）;干预后,研究组患者的阳性症状、阴性症状及PANSS量表总分低于对照组,差异有统计学意义（P〈0.01）.结论 将自我角色认同护理干预应用于精神分裂症合并糖尿病患者的护理过程中可以降低患者的激越行为,改善患者的社会交往能力和精神状况,值得临床推广.Objective To explore the effects of self-role recognition nursing on the agitation behavior and social interaction in schizophrenic patients with diabetes mellitus. Methods A total of 98 cases of schizophrenia patients with diabetes mellitus treated in Wuxi Mental Health Center of Jiangsu Province from October 2014 to October 2016 were selected as the research objects. The patients were randomly divided into control group and study group by random number table method. The control group was given routine nursing intervention, while the study group was given self-role recognition nursing intervention for 6 months. The level of fasting blood glucose and 2-hour postprandial blood glucose were compared between the two groups. Patients＇ agitation behavior was evaluated by Cohen-Mansfield agitation inventory （CMAI）; social communication ability was evaluated by social skills checklist （SSC） and social adaptive functioning evaluation （SAFE）; mental status was evaluated by positive and negative syndrome scale （PANSS）. The data of this study were statistically analyzed with SPSS 19.0 statistical software, in which the measurement data were tested by t-test, and the enumeration data were tested by χ2test. Results Before intervention, there was no significant difference in fasting blood glucose and 2-hour postprandial blood glucose between the two groups （P〉 0.05）. After intervention, the fasting blood glucose and 2-hour postprandial blood glucose level in the study group were significantly lower than those in the control group, and the differences were statistically significant （P〈 0.01）. The scores of physically aggressive agitation, physically non-aggressive agitation, verbal agitation and the total score of CMAI in the control group were （16.4±3.7）, （31.5±4.9）, （25.2±4.5）, （73.1±4.5） respectively after intervention, and the scores were （11.8±3.2）, （24.1±5.3）, （17.5±4.2）, （53.4±4.7） in the study group. The differences between the two groups after inter

关 键 词：精神分裂症 糖尿病 自我角色认同护理 激越行为 社会交往 

分 类 号：R473[医药卫生—护理学]