整合式心理护理在老年偏执型精神分裂症患者中的护理效果  

Nursing Effect of Integrated Psychological Nursing in Elderly Patients with Paranoid Schizophrenia

作　　者：王士贞 尤坤 郝艳玲 WANG Shi-zhen;YOU Kun;HAO Yan-ling(Department of Nursing,Jiamusi Welfare Institute for Mental Patients,Jiamusi 154002,Heilongjiang,China;Department of Psychiatry,Jiamusi Welfare Institute for Mental Patients,Jiamusi 154002,Heilongjiang,China)

机构地区：[1]佳木斯精神病人福利院护理部,黑龙江佳木斯154002 [2]佳木斯精神病人福利院精神科,黑龙江佳木斯154002

出　　处：《医学信息》2024年第6期159-162,共4页Journal of Medical Information

摘　　要：目的探讨整合式心理护理在老年偏执型精神分裂症患者中的应用效果。方法选取2019年3月-2022年3月佳木斯精神病人福利院收治的80例老年偏执型精神分裂症患者,按照随机数字表法分为对照组(40例)与观察组(40例)。对照组行常规护理干预,观察组在其基础上应用整合式心理护理。比较两组服药依从性、精神症状[阳性和阴性症状量表(PANSS)、明尼苏达多相人格问卷偏执分量表(MMPI-Pa)]、主观感受与接纳能力[自知力评估量表(SAI)、自尊量表(SES)、容纳他人量表(AOS)]、社会功能评定量表(SSPI)、精神分裂症患者生活质量量表(SQLS)。结果观察组服药依从优良率高于对照组(P<0.05)。观察组护理后PANSS、MMPI-Pa评分低于对照组(P<0.05)。观察组护理后SAI、SES、AOS评分高于对照组(P<0.05)。观察组护理后SSPI高于对照组,SQLS低于对照组(P<0.05)。结论整合式心理护理可提升老年偏执型精神分裂症患者的服药依从性,缓解其精神症状,同时提高其自知力、自尊及人际接纳能力,有助于社会功能及生活质量的改善。Objective To explore the application effect of integrated psychological nursing in elderly patients with paranoid schizophrenia.Methods A total of 80 elderly patients with paranoid schizophrenia admitted to Jiamusi Welfare Institute for Mental Patients from March 2019 to March 2022 were selected and divided into control group(40 patients)and observation group(40 patients)according to the random number table method.The control group received routine nursing intervention,and the observation group applied integrated psychological nursing on the basis of it.The medication compliance,psychiatric symptoms[Positive and Negative Syndrome Scale(PANSS),Minnesota Multiphasic Personality Inventory Paranoid Subscale(MMPI-Pa)],subjective feelings and acceptance ability[Insight Assessment Scale(SAI),Self-Esteem Scale(SES),Acceptance of Others Scale(AOS)],Social Function Rating Scale(SSPI),Schizophrenia Quality of Life Scale(SQLS)were compared between the two groups.Results The excellent and good rate of medication compliance in the observation group was higher than that in the control group(P<0.05).The scores of PANSS and MMPI-Pa in the observation group were lower than those in the control group(P<0.05).The scores of SAI,SES and AOS in the observation group were higher than those in the control group(P<0.05).After nursing,SSPI in the observation group was higher than that in the control group,and SQLS was lower than that in the control group(P<0.05).Conclusion Integrated psychological nursing can improve the medication compliance of elderly patients with paranoid schizophrenia,relieve their mental symptoms,and improve their insight,self-esteem and interpersonal acceptance,which is conducive to the improvement of social function and quality of life.

关 键 词：偏执型精神分裂症 老年患者 整合式心理护理 自知力 自尊 

分 类 号：R473.74[医药卫生—护理学]