精神分裂症患者实施时效性激励模式下的延伸护理效果对预后的影响  

The Effect of Extended Nursing Under the Time Limited Incentive Model on the Prognosis of Patients with Schizophrenia

作　　者：吴奶娇 WU Naijiao(Department of Psychiatry,Zherong County Mental Disease Prevention and Treatment Hospital,Zherong 355300,China)

机构地区：[1]柘荣县精神病防治院精神科,柘荣355300

出　　处：《中国医药指南》2024年第36期53-56,共4页Guide of China Medicine

摘　　要：目的探讨精神分裂症患者实施时效性激励模式下的延伸护理效果及对预后的影响。方法自2023年1月起,在医院收集顺利出院的精神分裂症患者,截止2024年1月,共收集患者70例。以计算机随机方法分组,将70例随机分至两组中,35例/组。对照组实施常规护理,研究组实施时效性激励模式下的延伸护理。在两组患者中,采用自我护理能力量表评估患者自我管理能力,采用阳性与阴性症状评分(PANSS)量表评估患者精神障碍症状,采用匹兹堡睡眠质量指数(PSQI)量表评估患者睡眠质量,采用世界卫生组织生存质量测定简表(BREF)评估患者生活质量,并应用自制的护理满意度问卷调查患者满意度。结果护理后研究组关于自我管理能力4个维度(自我概念、自我责任感、健康认知、自护技能)测评所得分数均比对照组高,其PANSS评分、PSQI评分均比对照组低,其在生活质量4个维度(生理、心理、环境、社交)测评所得分数均高于对照组(P均<0.05)。关于护理满意度,总满意率在研究组中高于对照组(P<0.05)。结论在精神分裂症患者出院后,在时效性激励模式下开展延伸护理,能够增强患者的自我管理能力,有助于缓解症状,提升睡眠和生活质量,使其更加满意于护理服务。Objective To explore the effect of extended nursing under the time limited incentive model on patients with schizophrenia and its impact on prognosis.Methods Starting from January 2023,the patients with schizophrenia who were successfully discharged from the hospital were collected,as of January 2024,a total of 70 cases were collected.Using computer randomization method,70 cases were randomly divided into two groups,with 35 cases per group.The control group received routine nursing care,while the study group received extended nursing care under a time limited sensitive incentive model.In two groups,the self-care ability scale was used to assess patients’self-management ability,the Positive and Negative Syndrome Score(PANSS)scale was used to assess patients’symptoms of mental disorders,the Pittsburgh Sleep Quality Index(PSQI)scale was used to assess patients’sleep quality,the World Health Organization Quality of Life(WHO)-BREF was used to assess patients’quality of life,and adopted a self-made nursing satisfaction questionnaire to survey patient satisfaction.Results After nursing,the scores obtained by the study group on the four dimensions of self-management ability(self-concept,sense of self responsibility,health cognition,and self-care skills)were higher than those of the control group,their PANSS and PSQI scores were lower than those of the control group,and their scores on the four dimensions of quality of life(physiological,psychological,environmental,social)were higher than those of the control group(all P<0.05).Regarding nursing satisfaction,the overall satisfaction rate in the study group was higher than that in the control group(P<0.05).Conclusions After the discharge of patients with schizophrenia,implementing extended care under a time limited incentive mode can enhance their self-management ability,help alleviate symptoms,improve sleep and quality of life,and make them more satisfied with nursing services.

关 键 词：精神分裂症 抗精神病药物 时效性激励模式 延伸护理 

分 类 号：R749.3[医药卫生—神经病学与精神病学] R473.74[医药卫生—临床医学]