人性化关怀护理干预对康复期精神分裂症患者认知功能及用药依从性的影响  

Effect of humanistic nursing intervention on cognitive function and medication compliance of patients with schizophrenia in rehabilitation period

作　　者：曾文娟 严菊俏 张瑞平[2] ZENG Wen-juan;YAN Ju-qiao;ZHANG Rui-ping(The Third Ward of Male,Huizhou Demobilized Veterans′Hospital,Guangdong Province,Huizhou516000,China;Department of Psychiatry,Huizhou Second People′s Hospital,Guangdong Province,Huizhou516001,China)

机构地区：[1]广东省惠州市复员退伍军人医院男三区,广东惠州516000 [2]广东省惠州市第二人民医院精神科,广东惠州516001

出　　处：《中国当代医药》2021年第11期224-227,共4页China Modern Medicine

基　　金：广东省惠州市科技计划项目(20190407)。

摘　　要：目的探讨人性化关怀护理干预对康复期精神分裂症患者认知功能及用药依从性的影响。方法选取惠州市复员退伍军人医院及惠州市第二人民医院2017年12月~2019年6月收治的60例康复期精神分裂症患者作为研究对象,按照掷硬币法分为对照组(30例)与观察组(30例)。对照组实施常规护理,观察组在常规护理的基础上采取人性关怀护理干预。比较两组的阳性和阴性症状量表(PANSS)评分、住院患者护士观察量表(NOSIE)评分、蒙特利尔认知评估量表(MOCA)评分、社会功能缺陷筛选量表(SDSS)评分、用药依从性情况。结果两组干预前的PANSS、SDSS评分比较,差异无统计学意义(P>0.05);观察组干预后的PANSS、SDSS评分低于对照组,差异均有统计学意义(P<0.05);两组干预前的NOSIE、MOCA评分比较,差异无统计学意义(P>0.05),观察组干预后的NOSIE、MOCA评分高于对照组,差异均有统计学意义(P<0.05);观察组的用药总依从性高于对照组,差异有统计学意义(P<0.05)。结论人性关怀护理可改善康复期精神分裂症患者的精神症状,提高认知功能,改善社会功能,提高患者满意度,临床上值得推广应用。Objective To explore the effect of humanized nursing intervention on cognitive function and medication compliance of schizophrenic patients in rehabilitation period.Methods A total of 60 cases of convalescent schizophrenic patients admitted to Huizhou Demobilized Veterans′Hospital and Huizhou Second People′s Hospital from December 2017 to June 2019 were selected as the research objects,and they were divided into the control group(30 cases)and the observation group(30 cases)according to the coin toss grouping method.The control group was given routine nursing,and the observation group was given nursing intervention based on humanistic nursing on the basis of routine nursing.The positive and negative symptom scale(PANSS),nurses observation scale for inpatient evaluation(NOSIE)score,Montreal cognitive assessment(MOCA)score,social disability screening schedule(SDSS)score and medication compliance were compared between the two groups.Results The PANSS and SDSS scores of the two groups before intervention were compared,and the differences were not statistically significant(P>0.05).The PANSS and SDSS scores of the observation group after intervention were lower than those of the control group,the differences were statistically significant(P<0.05).The NOSIE and MOCA scores of the two groups before intervention had no statistical significance(P>0.05),and the NOSIE and MOCA scores of the observation group after the intervention were higher than those of the control group,the differences were statistically significant(P<0.05).The medication total compliance of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion Humanistic nursing can improve the mental symptoms,cognitive function,social function and satisfaction of patients with schizophrenia in rehabilitation period,which is worthy of further promotion and application.

关 键 词：人性关怀护理 康复期 精神分裂症 用药依从性 

分 类 号：R473.2[医药卫生—护理学]