1例精神分裂症并发重度恶性综合征患者的护理  

Nursing care of a patient with schizophrenia complicated by severe neurdeptics malignant syndrome

作　　者：翁慧[1] 耿峰 王艳梅 林廷荣 张勤 张淼[2] WENG Hui;GENG Feng;WANG Yanmei;LIN Tingrong;ZHANG Qin;ZHANG Miao

机构地区：[1]安徽医科大学第二附属医院心理与睡眠医学科,合肥市230601 [2]安徽医科大学第二附属医院护理部,合肥市230601

出　　处：《中华护理杂志》2024年第17期2130-2134,共5页Chinese Journal of Nursing

基　　金：安徽省卫生健康科研项目(AHWJ2023A10080);安徽省质量工程项目(2023jymx11130)。

摘　　要：总结1例精神分裂症并发重度恶性综合征患者的护理经验。护理要点:重视抗精神病药物用药监测,尽早识别恶性综合征的发生;发挥跨学科团队优势,快速启动急性期管理措施;联合多模式降温措施,促进患者体温恢复;落实阶梯式干预方案,促进肠道功能恢复;重视家庭支持性治疗,促进社会功能恢复;制订多学科随访计划,做好延续性护理。经过多学科团队的救治和精细化护理,患者顺利出院,共住院47 d。随访3个月,患者日常生活基本恢复正常。To summarize the nursing experience of a patient with schizophrenia complicated by severe neurodeptic malignant syndrome.Nursing points include:to emphasize monitoring of antipsychotic medications to detect the onset of neurodeptic malignant syndrome as early as possible;to leverage the multidisciplinary team for rapid initiation of acute phase management interventions;to combine multimodal cooling to help rewarm the patient;to implement the stepwise intervention program to promote recovery of bowel function;to emphasize family supportive therapy to restore social functioning;to continue case management by developing a multidisciplinary follow-up plan.After careful management and care by the multidisciplinary team,the patient was successfully discharged from the hospital after a total stay of 47 days.After 3 months of follow-up,the patient’s daily life was basically back to normal.

关 键 词：精神分裂症 抗精神病药 恶性综合征 木僵 肠梗阻 护理 

分 类 号：R473[医药卫生—护理学]