首次住院女性精神病患者家属心理需求及护理干预  

Psychological Needs and Nursing Intervention of Family Members of First-time Female Patients with Mental Illness

作　　者：郑丽香 ZHENG Li-xiang(Department of Psychiatry,Xianyue Hospital,Xiamen,Fujian Province,360001 China)

机构地区：[1]厦门市仙岳医院精神科,福建厦门360001

出　　处：《中外医疗》2019年第1期145-147,共3页China & Foreign Medical Treatment

摘　　要：目的分析首次住院女性精神病患者家属心理需求及护理干预方法。方法随机抽取该院在2016年1月—2017年12月收治的72例首次住院女性精神病患者家属为研究对象,采取随机数字表法将其分为观察组与对照组,各36例,在对其心理需求进行分析后,分别实行常规护理和综合护理干预,对比两组患者家属的心理状态、对治疗的态度、生活质量。结果观察组患者家属在入院后1周、2周、4周的SAS评分分别为(48.0±13.0)分、(42.8±11.1)分、(37.0±12.0)分,对照组患者家属在入院后1、2、4周的SAS评分分别为(54.5±14.1)分、(51.4±15.2)分、(45.0±14.7)分,组间对比差异有统计学意义(P<0.05);观察组患者家属在入院后1、2、4周后的SDS评分分别为(40.7±12.7)分、(36.8±12.7)分、(34.4±12.2)分,对照组患者家属在入院后1、2、4周后的SDS评分分别为(46.9±13.2)分、(43.6±13.4)分、(41.0±13.1)分,组间对比差异有统计学意义(P<0.05);观察组患者家属对治疗的态度优于对照组,组间对比差异有统计学意义(χ2=7.088,P=0.029);观察组患者家属入院后4周的生活质量评分为(84.3±4.2)分,对照组患者入院后4周生活质量评分为(70.3±5.9)分,组间对比差异有统计学意义(t=11.599,P=0.000)。结论对首次住院女性精神病患者家属实施综合护理干预有助于缓解其负面情绪,使其以积极的心态面对患者疾病的治疗,并有助于提升其生活质量。Objective To analyze the psychological needs and nursing intervention methods of the family members of the first hospitalized female psychiatric patients.Methods A total of 72 first-time female psychiatric patients admitted to the hospital from January 2016 to December 2017 were randomly selected.The patients were randomly divided into observation group and control group,36 cases each.After analyzing their psychological needs,routine nursing and comprehensive nursing intervention were carried out to compare the psychological state,attitude towards treatment and quality of life of the family members of the two groups.Results The SAS scores of the patients in the observation group were(48.0±13.0)points,(42.8±11.1)points,and(37.0±12.0)points at 1 week,2 weeks,and 4 weeks after admission.The family members of the control group were admitted to the hospital.The SAS scores at 1 week,2 weeks,and 4 weeks were(54.5±14.1)points,(51.4±15.2)points,and(45.0±14.7)points,the different was statistically significant(P<0.05).The family members of the observation group were 1 week after admission.The SDS scores at 2 weeks and 4 weeks were(40.7±12.7)points,(36.8±12.7)points,and(34.4±12.2)points,respectively.The family members of the control group were 1 week,2 weeks,and 4 weeks after admission of SDS scores were(46.9±13.2)points,(43.6±13.4)points,and(41.0±13.1)points,the different was statistically significant(P<0.05).The family members of the observation group were better than the control group in the treatment,the different was statistically significant(χ^2=7.088,P=0.029);the quality of life scores of the patients in the observation group were(84.3±4.2)points at 4 weeks after admission,and the quality of life scores at the 4 weeks after admission were(70.3±5.9)points.The different was statistically significant(t=11.599,P=0.000).Conclusion Comprehensive nursing intervention for family members of first-time female psychiatric patients can help alleviate their negative emotions,make them face the treatment of patients'

关 键 词：首次住院 女性 精神病患者家属 

分 类 号：R5[医药卫生—内科学]