自我角色认同护理对精神分裂症患者临床依从性及激越行为的影响  

Effect of Self-role Identity Nursing on Clinical Compliance and Agitation Behavior of Patients with Schizophrenia

作　　者：尹华 YIN Hua(Department of Psychiatry,the Third People's Hospital of Ji'an,Ji'an 343000,China)

机构地区：[1]吉安市第三人民医院精神科,江西吉安343000

出　　处：《医学信息》2025年第4期148-152,共5页Journal of Medical Information

摘　　要：目的探讨自我角色认同护理对精神分裂症患者临床依从性及激越行为的影响。方法选取2022年1月-2023年7月吉安市第三人民医院收治的62例精神分裂症患者作为研究对象,按照随机数字表法将所有患者分为对照组和研究组,每组31例。对照组采用常规护理措施,研究组给予自我角色认同护理。比较两组临床依从性、激越行为(躯体性攻击行为、躯体性非攻击行为、语言性激越行为)、社会交往能力(交谈能力、建立关系能力、冲突处理能力)、生活质量(躯体功能、心理活动、社会能力、物质生活状态)、护理满意度。结果研究组临床依从性高于对照组(P<0.05);研究组护理后躯体性攻击行为、躯体性非攻击行为、语言性激越行为评分低于对照组(P<0.05);研究组护理后交谈能力、建立关系能力、冲突处理能力评分低于对照组(P<0.05);研究组护理后躯体功能、心理活动、社会能力、物质生活状态评分高于对照组(P<0.05);研究组护理总满意度高于对照组(P<0.05)。结论自我角色认同护理对精神分裂症患者临床依从性、生活质量、激越行为、社会交往能力均有良好的改善作用,值得临床应用。Objective To explore the effect of self-role identity nursing on clinical compliance and agitation behavior of patients with schizophrenia.Methods A total of 62 patients with schizophrenia admitted to the Third People's Hospital of Ji'an from January 2022 to July 2023 were selected as the research objects.All patients were divided into control group and study group according to the random number table method,with 31 patients in each group.The control group was given routine nursing measures,and the study group was given self-role identity nursing.The clinical compliance,agitation behavior(somatic aggressive behavior,somatic non-aggressive behavior,language agitation behavior),social communication ability(conversation ability,relationship building ability,conflict handling ability),quality of life(physical function,psychological activity,social ability,material life status)and nursing satisfaction were compared between the two groups.Results The clinical compliance of the study group was higher than that of the control group(P<0.05).The scores of somatic aggressive behavior,somatic non-aggressive behavior and verbal agitation behavior in the study group after nursing were lower than those in the control group(P<0.05).The scores of conversation ability,relationship building ability and conflict handling ability in the study group after nursing were lower than those in the control group(P<0.05).The scores of physical function,psychological activity,social ability and material life status in the study group after nursing were higher than those in the control group(P<0.05).The total nursing satisfaction in the study group was higher than that in the control group(P<0.05).Conclusion Self-role identity nursing has a good improvement effect on clinical compliance,quality of life,agitation behavior and social communication ability of schizophrenic patients,which is worthy of clinical application.

关 键 词：自我角色认同 精神分裂症 临床依从性 激越行为 

分 类 号：R473[医药卫生—护理学]