综合护理干预对流浪精神病患者合并躯体疾病的护理观察  

Nursing observation of comprehensive nursing intervention on vagrant mental patients complicated with somatic diseases

作　　者：曹允贞 CAO Yunzhen(First Treatment Area,Guangzhou Civil Affairs Bureau Psychiatric Hospital, Guangzhou 510430, China)

机构地区：[1]广州市民政局精神病院救治一区,广东广州510430

出　　处：《中国医药科学》2018年第15期100-102,108,共4页China Medicine And Pharmacy

摘　　要：目的探讨流浪精神障碍合并躯体疾病综合护理干预的效果。方法研究对象均选自于2016年8月~2017年8月期间,均为本院收治的流浪精神障碍合并躯体疾病患者,共抽取100例。研究对象根据就诊时间先后进行分组,包括对照组与实验组。其中对照组50例患者单纯实施常规护理模式,实验组50例患者在此基础上,加用综合护理干预模式。对比两组患者的护理前后心理状态(SAS、SDS)评分、精神疾病好转时间、躯体疾病康复时间、住院时间、以及不良事件发生情况。结果经护理后,实验组患者的SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05);实验组患者的精神疾病好转时间为(5.21±1.03)d、躯体疾病康复时间为(3.26±1.52)d、住院时间为(7.64±3.55)d,均较对照组更短,差异有统计学意义(P<0.05);比较患者的不良事件发生的情况发现,实验组不良事件发生率(0)显著较对照组更低,差异有统计学意义(P<0.05)。结论在常规护理基础上,给予流浪精神障碍合并躯体疾病患者实施综合护理干预,效果可观,具有在今后推广应用的价值。Objective To explore the effect of comprehensive nursing intervention on vagrant mental patients complicated with somatic diseases. Methods All subjects were selected from August 2016 to August 2017, all patients with vagrant mental patients complicated with somatic diseases admitted in our hospital, a total of 100 patients were selected. The subjects were grouped according to the visiting time, including the control group and the experimental group. Among 50 patients in the control group, the routine care model was simply implemented, and 50 patients in the experimental group were given the comprehensive nursing intervention model. The SAS and SDS scores before and after nursing, the time for improvement of mental illness, the recovery time for physical illness, hospitalization time, and the incidence of adverse events were compared between the two group. Results After nursing, the scores of SAS and SDS in the experimental group were lower than those in the control group（P〈0.05）. The improvement time of mental illness, recovery time of physical illness and hospitalization time of experimental group were（5.21±1.03） days,（3.26±1.52） days and（7.64±3.55） days respectively, which were shorter than those of control group and the difference was statistically significant（P〈0.05）. The incidence of adverse events in the experimental group（0） was significantly lower than that in the control group（P〈0.05）. Conclusion On the basis of routine nursing care, the comprehensive nursing intervention for the patients with STD combined with physical diseases has a considerable effect, which has the value of promotion and application in the future.

关 键 词：流浪 精神障碍 躯体疾病 护理 效果 

分 类 号：R473.74[医药卫生—护理学]