综合性康复护理在首次住院女性精神分裂患者中的应用效果

Application effect of comprehensive rehabilitation nursing in initially hospitalized female schizophrenia patients

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摘要目的探讨综合性康复护理在首次住院女性精神分裂患者中的应用效果。方法选取2017年1月~2019年10月我院收治的65例首次住院女性精神分裂患者作为研究对象,按照随机数字表法分为对照组(n=33)与观察组(n=32)。对照组采用常规护理,观察组在对照组基础上采用综合性康复护理,比较两组护理前后简明精神病量表(BPRS)评分、自知力与治疗态度问卷(ITAQ)评分与护理满意度。结果护理前,两组BPRS及ITAQ评分与服药依从性比较,差异无统计学意义(P>0.05);护理后,观察组BPRS评分低于对照组,ITAQ评分及服药依从性高于对照组,差异均有统计学意义(P<0.05)。观察组的护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论首次住院女性精神分裂患者开展综合性康复护理能提升其自知力和满意度,改善其服药依从性,值得推广。 Objective To discuss the application effect of comprehensive rehabilitation nursing in initially hospitalized female schizophrenia patients.Methods A total of 65 initially hospitalized female schizophrenia patients admitted from January 2017 to October 2019 in our hospital were selected as research subjects.According to random number table method,patients were divided into control group(n=33)and observation group(n=32).The routine nursing was performed in the control group;on the basis of the former,the comprehensive rehabilitation nursing was performed in the observation group.Before and after intervention,the brief psychiatric rating scale(BPRS)scores,insight and treatment attitude questionnaire(ITAQ)scores and nursing satisfaction were compared between two groups.Results There were no significant between-group differences in BPRS,ITAQ scores and medicine-taking compliance before intervention(P>0.05);after intervention,BPRS scores in the observation group were lower than those of control group,ITAQ scores and medication compliance were higher than those of control group,the differences were statistically significant(P<0.05);the nursing total satisfaction in the observation group was higher than that of control group,with statistical difference(P<0.05).Conclusion For initially hospitalized female schizophrenia patients,the comprehensive rehabilitation nursing can improve their insight,nursing satisfaction and medication compliance.It is worthy of application.

作者李柳琎 LI Liu-jin(The First Department of Psychiatry,Baise Second People′s Hospital,Guangxi Zhuang Autonomous Region,Baise533000,China)

机构地区广西壮族自治区百色市第二人民医院精神一科

出处《中国当代医药》 2020年第19期240-242,246,共4页 China Modern Medicine

关键词精神分裂首次住院综合性康复护理自知力服药依从性 Schizophrenia Initially hospitalized Comprehensive rehabilitation nursing Insight Medication compliance

分类号 R473.74 [医药卫生—护理学]

作者简介李柳琎(1984-),女,广西百色人,本科,主管护师,研究方向:精神疾病护理。