全程康复护理对精神分裂症恢复期病耻感及心理状况的影响  

Effect of whole-course rehabilitation nursing on shame and psychological status during recovery of schizophrenia

作　　者：刘英[1] 张凯[2] 胡江[2] LIU Ying;ZHANG Kai;HU Jiang(Department of Geriatrics ,Xi'an Mental Health Center,Xi'an 710100,Shaanxi,CHINA;3^rd Department of Early Intervention,Xi'an Mental Health Center,Xi'an 710100,Shaanxi,CHINA)

机构地区：[1]西安市精神卫生中心老年科,陕西西安710100 [2]西安市精神卫生中心早期干预三科,陕西西安710100

出　　处：《海南医学》2019年第17期2297-2299,共3页Hainan Medical Journal

摘　　要：目的研究全程康复护理对精神分裂症恢复期病耻感及心理状况的影响,为患者诊疗期间护理工作的开展提供指导。方法选取2017年7月至2018年5月西安市精神卫生中心接诊的68例精神分裂症恢复期患者进行研究。按照随机数表法将患者分为观察组和对照组,每组34例。对照组在服药的基础上采用常规护理,观察组在服药的基础上给予12周的全程康复护理。护理干预前后,分别采用病耻感评估表、汉密尔顿抑郁量表(HAMD)及住院患者观察量表(NOSIE)对护理效果进行评估。结果护理前,两组患者的病耻感得分、HAMD量表评分以及NOSIE量表评分比较,差异均无统计统计意义(P>0.05);护理后,两组患者的病耻感得分、NOSIE量表评分和HAMD量表评分均明显低于护理前,差异均有统计学意义(P<0.05);观察组患者护理后的病耻感得分为(25.50±10.35)分,明显低于对照组的(32.28±12.19)分,HAMD量表评分为(19.67±4.51)分,也明显低于对照组的(13.50±3.19)分,差异均有统计学意义(P<0.05);护理后观察组患者的社会能力、社会兴趣、个人整洁因子改善均明显优于对照组,差异均有统计学意义(P<0.05)。结论全程康复护理可降低精神分裂症患者的病耻感,有效改善患者的心理状况和社会功能,提高患者生活质量,值得推广使用。Objective To study the effects of whole-course rehabilitation nursing on shame and psychological status of schizophrenia in convalescent stage, and provide guidance for the development of nursing work during the patient's diagnosis and treatment. Methods A study was conducted on 68 patients of convalescent schizophrenics who were admitted to the Xi'an Mental Health Center from July 2017 to May 2018. According to the random number table method, the patients were divided into observation group and control group, with 34 cases in each group. The control group was given routine nursing on the basis of medication, while the observation group was given 12 weeks of whole-course rehabilitation nursing on the basis of taking the medicine. Before and after the nursing intervention, the nursing effects were evaluated using the Shame Scale, Hamilton Depression Rating Scale (HAM-D) and the Nurses' Observation Scale for Inpatient Evaluation (NOSIE). Results Before the nursing, there were no statistically significant differences in the scores of the shame, the HAM-D scale and the score of the NOSIE scale between the two groups (P> 0.05). After the nursing, the scores of shame, NOSIE scale and HAM-D scale of the two groups were significantly lower than those before the nursing, all differences were statistically significant (P<0.05). After the nursing, the score of shame was (25.50±10.35) points in the observation group, which was significantly lower than (32.28±12.19) points in the control group;the score of HAM-D scale was (19.67±4.51) points in the observation group, which was significantly lower than (13.50±3.19) points in the control group, both differences were statistically significant (P<0.05). The social ability, social interest, and personal cleansing factor in the observation group were significantly better than those in the control group (P<0.05). Conclusion The whole-course rehabilitation nursing can reduce the shame of schizophrenia patients, effectively improve their psychological status and social functions,

关 键 词：精神分裂症 康复护理 病耻感 心理 生活质量 

分 类 号：R473.74[医药卫生—护理学]