预见性护理干预对预防首发住院精神分裂症患者伴发代谢综合征的影响  

Effect of Predictive Nursing Intervention on the Prevention of Metabolic Syndrome in First Hospitalized Schizophrenics

作　　者：许健 XU Jian(Dalian Jinzhou District Fourth People's Hospital,Dalian 116100,China)

机构地区：[1]大连市金州区第四人民医院,辽宁大连116100

出　　处：《中国医药指南》2023年第6期158-160,164,共4页Guide of China Medicine

摘　　要：目的 分析预见性护理干预对预防首发住院精神分裂症患者伴发代谢综合征的应用效果。方法 选取本院2019年1月至2020年1月收治的86例首发住院精神分裂症患者开展本次试验研究,将其临床资料进行回顾性分析,分组方式选取随机数字表法,将所有患者均分为对照组和观察组两组,每组43例。给予对照组患者常规护理干预,给予观察组患者预见性护理干预,比较两组患者的护理效果及两组患者的三酰甘油(TG)指标、腰围指标、舒张压(DBP)指标、收缩压(SBP)指标、空腹血糖(FBG)指标和高密度脂蛋白胆固醇(HDL-C)指标。结果 与对照组的三酰甘油(TG)指标、腰围指标、舒张压(DBP)指标、收缩压(SBP)指标和空腹血糖(FBG)指标相比,观察组均明显偏低(P <0.05),与对照组的高密度脂蛋白胆固醇(HDL-C)指标相比,观察明显偏高(P <0.05);与对照组代谢综合征发生率相比,观察组明显偏低(P <0.05);与对照组的整体护理满意度和各项生活质量评分相比,观察组明显偏高(P <0.05);观察组的SAS评分和SDS评分改善情况均明显优于对照组(P <0.05)。结论 给予首发住院精神分裂症患者预见性护理干预能够显著改善患者的血压水平和血脂水平,能够有效降低代谢综合征发生的概率,促使患者心理状态改善,生活质量和护理质量提升。Objective To analyze the effect of predictive nursing intervention on the prevention of metabolic syndrome in the first hospitalized schizophrenics. Methods Eighty-six first hospitalized schizophrenics from January 2019 to January 2020 in our hospital were selected to carry out this study, and their clinical data were analyzed retrospectively. All patients were divided into control group and observation group, 43 cases in each group. Routine nursing intervention was given to the patients in the control group, and predictive nursing intervention was given to the patients in the observation group. The nursing effects of the two groups were compared, and the indexes of TG, waist circumference, DBP, SBP, FBG and HDL-C of the two groups were compared. Results In contrast to the control triacylglycerol(TG), waist circumference, diastolic(DBP), systolic(SBP),and fasting blood glucose(FBG) measures, all the observed groups were significantly lower(P<0.05). In contrast to the high-density lipoprotein cholesterol(HDL-C) index of the control group, the observation was significantly higher(P<0.05). Compared with the control group, the incidence of metabolic syndrome in the observation group was significantly lower(P<0.05). Compared with the control group, the overall nursing satisfaction and quality of life scores in the observation group were significantly higher(P<0.05), and the improvement of SAS score and SDS score in the observation group was significantly better than that in the control group(P<0.05). Conclusion Prespective nursing intervention for first-hospitalized schizophrenia patients can significantly improve their blood pressure level and blood lipid level, effectively reduce the probability of metabolic syndrome, promote the improvement of psychological status, improve quality of life and quality of care.

关 键 词：预见性护理 首次发作 住院患者 精神分裂症 代谢综合征 应用效果 

分 类 号：R473.74[医药卫生—护理学]