老年偏执型精神分裂患者行基于奥瑞姆自理理论——支持教育系统的康复锻炼干预效果研究  

Study on the Effect of Rehabilitation Exercise Intervention Based on Orem’s Self-care Theory and Support Education System on Elderly Paranoid Schizophrenics

作　　者：王丹 Wang Dan(Department of Integrated Traditional Chinese and Western Medicine,Zhumadian Second People’s Hospital,Zhumadian,Henan,463000,China)

机构地区：[1]驻马店市第二人民医院中西医结合科,河南驻马店463000

出　　处：《黑龙江医学》2024年第6期698-700,共3页Heilongjiang Medical Journal

基　　金：2020年河南省医学教育研究项目(Wjlx202000121)。

摘　　要：目的:观察奥瑞姆自理理论—支持教育系统在老年偏执型精神分裂患者的康复锻炼中的应用效果。方法:选取驻马店市第二人民医院2020年6月—2022年1月收治的123例老年偏执型精神分裂患者作为研究对象,采用电脑随机分组法将其分为观察组(n=62)和对照组(n=61)。观察者基于奥瑞姆自理理论—支持教育系统实施康复锻炼干预,对照组实施常规康复锻炼干预。比较两组患者康复锻炼依从性、症状改善情况以及认知、社会功能康复效果。结果:在不同干预模式下,观察组的康复依从性优良率(93.55%)高于对照组(81.97%),差异有统计学意义(χ^(2)=6.242,P<0.05);观察组干预3、7、14 d时的简明精神病评定量表(BPRS)评分均低于对照组,差异有统计学意义(t=12.134、48.584、46.054,P<0.05);观察组随访期间的简易认知状态检查量表(MMSE)、蒙特利尔认知评估量表(MoCA)评分高于对照组、社会功能缺陷筛选量表(SDSS)评分低于对照组,差异有统计学意义(t=56.641、49.347、45.253,P<0.05)。结论:基于奥瑞姆自理理论—支持教育系统对老年偏执型精神分裂患者实施康复锻炼辅助治疗可有效提升其康复依从性,对进一步改善患者临床症状、促进认知、社会功能恢复具有积极意义。Objective:To observe the effect of Orem’s self-care theory support education system in the rehabilitation exercise of elderly paranoid schizophrenics.Methods:123 elderly patients with paranoid schizophrenia admitted to the hospital from June 2020 to January 2022 were selected as the research objects.They received systematic drug intervention and were all assisted with rehabilitation exercise.They were divided into observation group(62 cases,based on Orem’s self-care theory-rehabilitation exercise intervention implemented by the support education system)and control group(61 cases,regular rehabilitation exercise intervention)by computer random grouping method.The compliance of rehabilitation exercise,improvement of symptoms and the rehabilitation effect of cognitive and social functions of two groups were compared.Results:Under different intervention modes,the excellent and good rate of rehabilitation compliance in the observation group was 93.55%,which was higher than that in the control group(81.97%),with statistically significant difference(χ^(2)=6.242,P<0.05).The BPRS score in the intervention group was lower than that in the control group after 3,7 and 14 days,with statistically significant difference(t=12.134,48.584,46.054;P<0.05).During the follow-up period,MMSE and MoCA in the observation group were higher than those in the control group,and SDSS was lower than those in the control group(t=56.641,49.347,45.253;P<0.05).Conclusion:Based on Orem’s self-care theory-support education system,rehabilitation exercise and auxiliary treatment for elderly paranoid schizophrenics can effectively improve their rehabilitation compliance,and have positive significance in further improving patients’clinical symptoms and promoting the recovery of cognitive and social functions.

关 键 词：偏执型精神分裂 奥瑞姆自理理论—支持教育系统 康复锻炼 依从性 认知功能 社会功能 

分 类 号：R749.3[医药卫生—神经病学与精神病学]