精神分裂症与躁狂症伴发糖尿病的临床观察和护理  

Clinical Observation and Nursing of Schizophrenia and Mania Accompanied with Diabetes

作　　者：王春菊[1] WANG Chunju(Shenyang Mental Health Center,Shenyang 110000,China)

机构地区：[1]沈阳市精神卫生中心,辽宁沈阳110000

出　　处：《中国医药指南》2021年第28期25-27,共3页Guide of China Medicine

摘　　要：目的探讨精神分裂症与躁狂症伴发糖尿病的临床观察和护理。方法选取2017年5月至2019年8月我院收治的精神分裂症与躁狂症伴发糖尿病患者90例,分为试验组和对照组,各45例。对照组患者采用常规临床护理,试验组患者在常规治疗的基础上使用针对性护理,对比分析两组患者护理干预前后的空腹血糖与PANSS(阳性和阴性症状量表)评分,以及生活方式的改善情况和护理满意程度。结果比较护理干预前,对照组患者的空腹血糖值(7.21±1.18)nmol/L以及PANSS评分(144.32±16.78)分相较试验组(7.10±1.21)nmol/L、(145.12±14.24)分,差异不显著(P>0.05);干预后,试验组的空腹血糖值(4.71±0.96)noml/L及PANSS评分(106.17±12.87)分均显著低于对照组的(5.67±1.19)noml/L、(133.78±20.13)分,差异有统计学意义(P<0.05)。试验组出现拒绝饮食、暴饮暴食、不运动、不了解健康知识的概率分别是20.00%(9/45)、28.89%(13/45)、15.56%(7/45)、40.00%(18/45),均明显低于对照组的73.33%(33/45)、66.67%(30/45)、57.78%(26/45)、68.89%(31/45),差异有统计学意义(P<0.05);试验组患者护理总满意率高达95.56%(43/45),相较对照组数据80.00%(36/45)更高,差异有统计学意义(P<0.05)。结论对于精神分裂症和躁狂症伴发糖尿病患者实施针对性护理措施,有利于控制空腹血糖值,并一定程度改善患者的精神病症状,且患者的生活方式也改善更明显,使患者更满意护理工作,建议临床推广。Objective To explore the clinical observation and nursing of schizophrenia and mania with diabetes.Methods Ninety patients with schizophrenia and mania accompanied by diabetes in our hospital from May 2017 to August 2019 were selected and divided into the experimental group and the control group,45 cases in each group.The treatment method used by the patients in the control group was routine clinical nursing,and the patients in the experimental group used targeted nursing on the basis of routine treatment.The fasting blood glucose and PANSS(positive and negative symptom scale)scores before and after nursing intervention,as well as the improvement of lifestyle and nursing satisfaction were compared and analyzed.Results Before nursing intervention,the fasting blood glucose value(7.21±1.18)nmol/L and PANSS score(144.32±16.78)in the control group were lower than those in the observation group(7.10±1.21)nmol/L and(145.12±14.24)(P>0.05);after the intervention,the fasting blood glucose value(4.71±0.96)noml/L and PANSS score(106.17±12.87)in the experimental group were significantly lower than those in the control group(5.67±1.19)noml/L and(133.78±20.13)(P<0.05).The probabilities of refusing to eat,overeating,not exercising and not knowing health knowledge in the experimental group were 20.00%(9/45),28.89%(13/45),15.56%(7/45)and 40.00%(18/45)respectively,which were significantly lower than 73.33%(33/45),66.67%(30/45),57.78%(26/45)and 68.89%(31/45)in the control group(P<0.05)The total satisfaction rate of nursing in the experimental group was 95.56%(43/45),which was higher than 80.00%(36/45)in the control group(P<0.05).Conclusion Targeted nursing measures for patients with schizophrenia and mania accompanied by diabetes are more conducive to controlling fasting blood glucose,and improving mental symptoms of patients to a certain extent,and the lifestyle of patients is improved more obviously,which can prompt patients to be more satisfied with nursing work,and recommend clinical promotion.

关 键 词：精神分裂症 躁狂症 伴发糖尿病 护理措施 针对性护理 

分 类 号：R473.5[医药卫生—护理学] R473.74[医药卫生—临床医学]