康复护理在精神分裂症幻听患者中的应用效果  

Application effect of rehabilitation nursing on schizophrenic patients with auditory hallucination

作　　者：梁小丽[1] 李梅枝[1] 周志强[1] LIANG Xiaoli;LI Meizhi;ZHOU Zhiqiang(Department of Combine Traditional Chinese and Western Medicine Psychiatry,the Hu′nan Brain Hospital,Hu′nan Province,Changsha410007,China)

机构地区：[1]湖南省脑科医院中西医结合精神科,湖南长沙410007

出　　处：《中国当代医药》2022年第14期167-170,178,共5页China Modern Medicine

基　　金：湖南省自然科学基金资助项目(2019JJ80025);湖南省科技创新计划项目(2020SK50801);湖南省卫生健康委科研计划课题项目(C2019038);湖南省卫生健康委科研计划项目(20200599,202114050296);湖南省脑科医院院级科研计划课题项目(2018B03,2018D07)。

摘　　要：目的探讨康复护理在精神分裂症幻听患者中的应用效果。方法选取2017年1月至2018年10月湖南省脑科医院收治的160例精神分裂症幻听患者作为研究对象,按照随机数字法分为对照组(80例)与试验组(80例)。对照组予以精神分裂症常规护理,试验组予以康复护理。比较两组的住院天数、治疗费用、住院次数;采用治疗前后阳性与阴性症状量表(PANSS)、自知力与治疗态度问卷评分(ITAQ)评估疗效。结果试验组干预后住院天数、治疗费用、住院次数均少于对照组,差异有统计学意义(P<0.05);两组干预后的PANSS量表阳性症状、阴性症状、一般症状及PANSS总分比较,差异无统计学意义(P>0.05);试验组干预后的幻听评分低于对照组,ITAQ量表评分高于对照组,差异有统计学意义(P<0.05);两组干预后的治疗总有效率比较,差异无统计学意义(P>0.05)。结论康复护理虽对精神分裂症幻听患者症状无明显改善,但能明显改善患者自知力,明显缩短患者住院天数、住院费用、住院次数,有着良好的经济学效益,值得进一步推广。Objective To explore the application effect of rehabilitation nursing in patients with schizophrenia auditory hallucination.Methods A total of 160 patients with schizophrenia and auditory hallucinations admitted to the Hu′nan Brain Hospital from January 2017 to October 2018 were selected and divided into control group(80 cases)and experimental group(80 cases),the control group was given routine care of schizophrenia,the experimental group was given rehabilitation care.The days of hospitalization,treatment costs and times of hospitalization were compared between the two groups.Positive and negative symptom scale(PANSS)and self-awareness and treatment attitude questionnaire score(ITAQ)were used to evaluate the efficacy.Results The number of hospitalization days,treatment costs and hospitalization times in the experimental group were all less than those in the control group after intervention,the differences were statistically significant(P<0.05).There were no significant differences in positive symptoms,negative symptoms,general symptoms and total PANSS scores of the two groups after intervention(P>0.05).After intervention,the score of auditory hallucinations in experimental group was lower than that in control group,and the score of ITAQ scale was higher than that in control group,the differences were statistically significant(P<0.05).There was no significant difference in the total effective rate between the two groups after intervention(P>0.05).Conclusion Although rehabilitation nursing has no obvious improvement on the symptoms of schizophrenic patients with auditory hallucination,but it can significantly improve the insight of patients,significantly shorten the hospitalization days,treatment expenses and hospitalization times,which has good economic benefits and is worthy of further promotion.

关 键 词：精神分裂症 幻听 康复护理 自知力 

分 类 号：R749.3[医药卫生—神经病学与精神病学]