基于微信平台的延续性康复护理在精神分裂症患者护理中的应用
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摘要
目的:探讨基于微信平台的延续性康复护理在精神分裂症患者护理中的应用效果。方法:选取收治的精神分裂症患者96例按随机分配的原则分为观察组和对照组各48例,对照组给予常规护理干预,观察组在常规护理干预基础上给予基于微信平台的延续性康复护理;比较两组干预前后症状改善情况[采用阳性与阴性症状量表(PANSS)评分]、认知功能状态[认知功能筛查量表(CASI)评分]和生活质量,随访1年,比较两组服药依从性、护理满意度、复发率。结果:干预后,两组PANSS中阳性症状、阴性症状、精神病理、总分低于干预前(P <0. 05),且观察组低于对照组同期(P <0. 01);干预后,两组CASI中注意力、定向力、记忆力、思维流畅性、语言表达力评分高于干预前(P <0. 05),且观察组高于对照组同期(P <0. 05,P <0. 01);干预后,两组生活质量量表中心理功能、日常活动、生理功能、社交功能评分高于干预前(P <0. 05),且观察组高于对照组同期(P <0. 01);随访1年,观察组服药依从性、护理满意度均高于对照组(P <0. 05),而复发率低于对照组(P <0. 05)。结论:基于微信平台的延续性康复护理在精神分裂症患者护理中的应用效果良好,能够进一步改善患者症状,提高患者认知功能,改善生活质量,降低患者复发率。
Objective:To explore the application effect of continuous rehabilitation nursing based on We Chat platform in the nursing of patients with schizophrenia. Methods:A total of 96 cases of schizophrenic patients were randomly assigned into observation group and control group with 48 cases each. The control group received routine nursing intervention,and the observation group received continuous rehabilitation nursing based on We Chat platform on the basis of routine nursing intervention. Symptoms improvement( PANSS),cognitive function status,CASI and quality of life before and after intervention in the two groups were compared. After 1 year of follow-up,medication compliance,nursing satisfaction and recurrence rate of the two groups were compared. Results:After intervention,the positive symptoms,negative symptoms,psychopathology and total score of PANSS in the two groups were lower than before intervention( P < 0. 05),and the observation group was lower than the control group at the same period( P < 0. 01). After intervention,the scores of attention,orientation,memory,thinking fluency and language expression in CASI of the two groups were higher than those before intervention( P < 0. 05),and those in the observation group were higher than those in the control group( P < 0. 05,P < 0. 01). After intervention,scores of psychological function,daily activity,physiological function and social function in the two groups were higher than those in the control group( P < 0. 05),and those in the observation group were higher than those in the control group( P < 0. 01). After 1 year of follow-up,,medication compliance and nursing satisfaction in observation group were higher than those of the control group( P < 0. 05),while the recurrence rate was lower than that of the control group( P < 0. 05). Conclusion:Continuous rehabilitation nursing based on We Chat platform has a good application effect in the nursing of patients with schizophrenia. It can further improve the symptoms of patients,better modify the cognitive function of patients,promote the quality of life,and reduce the recurrence rate of patients.
Objective:To explore the application effect of continuous rehabilitation nursing based on We Chat platform in the nursing of patients with schizophrenia. Methods:A total of 96 cases of schizophrenic patients were randomly assigned into observation group and control group with 48 cases each. The control group received routine nursing intervention,and the observation group received continuous rehabilitation nursing based on We Chat platform on the basis of routine nursing intervention. Symptoms improvement( PANSS),cognitive function status,CASI and quality of life before and after intervention in the two groups were compared. After 1 year of follow-up,medication compliance,nursing satisfaction and recurrence rate of the two groups were compared. Results:After intervention,the positive symptoms,negative symptoms,psychopathology and total score of PANSS in the two groups were lower than before intervention( P < 0. 05),and the observation group was lower than the control group at the same period( P < 0. 01). After intervention,the scores of attention,orientation,memory,thinking fluency and language expression in CASI of the two groups were higher than those before intervention( P < 0. 05),and those in the observation group were higher than those in the control group( P < 0. 05,P < 0. 01). After intervention,scores of psychological function,daily activity,physiological function and social function in the two groups were higher than those in the control group( P < 0. 05),and those in the observation group were higher than those in the control group( P < 0. 01). After 1 year of follow-up,,medication compliance and nursing satisfaction in observation group were higher than those of the control group( P < 0. 05),while the recurrence rate was lower than that of the control group( P < 0. 05). Conclusion:Continuous rehabilitation nursing based on We Chat platform has a good application effect in the nursing of patients with schizophrenia. It can further improve the symptoms of patients,better modify the cognitive function of patients,promote the quality of life,and reduce the recurrence rate of patients.
引文
[1]曹新妹,贾守梅,龚晴,等.延续护理对精神分裂症患者服药依从性及康复的影响[J].上海护理,2016,16(4):28-31.
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[10] Tseng PT,Chen YW,Lin PY,et al. Significant treatment effect of adjunct music therapy to standard treatment on the positive,negative,and mood symptoms of schizophrenic patients:a meta-analysis[J]. Bmc Psychiatry,2016,16(1):16-22.
[11]陈海兴.康复治疗对精神分裂症患者精神症状、认知功能的影响[J].山东医药,2016,37(4):84-85.
[12]李鹏辉,郑远松,李菲,等.利培酮对精神分裂症患者阴性症状及认知功能的影响[J].医学临床研究,2017,34(3):582-584.
[13]刘旭恩,沈姣.不同重复经颅磁刺激模式对精神分裂症患者认知功能及精神症状的影响[J].精神医学杂志,2016,29(1):521-523.
[14]石银燕,夏泳.团体心理治疗对首发精神分裂症患者认知功能、社会功能及疗效的影响[J].中华全科医学,2018,16(6):101-104.
[15] Yin Z,Li J,Yun Z,et al. Functional brain network analysis of schizophrenic patients with positive and negative syndrome based on mutual information of EEG time series[J].Biomedical Signal Processing&Control,2017,31(9):331-338.
[16] Kazem MS,Nojomi Marzieh MD,Mirabzadeh Arash MD,et al. A Comparative Study of Nurses as Case Manager and Telephone Follow-up on Clinical Outcomes of Patients with Severe Mental Illness[J]. Iranian Journal of Medical Sciences,2016,41(1):19-27.
[2]陈琪,潘海燕,苏健.微信延续护理对TKA患者术后功能康复及并发症的影响[J].西南国防医药,2017,28(12):1372-1374.
[3] Xian Zang,Jiao-Jiao,Bai Jiao Sun,et al. Effect of Internet technology on extended care in elderly patients with diabetic feet[J]. Chinese Nursing Research,2017,4(3):130-132.
[4]古玮娜,程哲.情绪管理训练对精神分裂症患者近期情感表达及认知功能的影响[J].现代预防医学,2016,43(22):4153-4155.
[5]王军华,李玲.综合护理干预对首发男性精神分裂症患者认知功能的影响[J].实用临床医药杂志,2018,34(12):182-184.
[6] Tao JZ. Impact of We Chat platform-based nursing care on digestive system symptoms and care burden of primary caregivers of patients with lung cancer on chemotherapy[J]. World Chinese Journal of Digestology,2017,25(22):2051-2056.
[7]徐良雄,高卉,曾德志,等.药物联合康复训练治疗首发精神分裂症的疗效及其对患者认知功能的影响[J].海南医学,2016,27(3):407-409.
[8]戴云飞,肖泽萍.中国精神障碍分类与诊断标准第3版与国际疾病分类第10版的比较[J].临床精神医学杂志,2013,23(6):426-427.
[9]张国富,任彩丽,李达,等. Valpar职业评估训练系统对精神分裂症患者认知功能的影响[J].中华行为医学与脑科学杂志,2017,26(3):232-236.
[10] Tseng PT,Chen YW,Lin PY,et al. Significant treatment effect of adjunct music therapy to standard treatment on the positive,negative,and mood symptoms of schizophrenic patients:a meta-analysis[J]. Bmc Psychiatry,2016,16(1):16-22.
[11]陈海兴.康复治疗对精神分裂症患者精神症状、认知功能的影响[J].山东医药,2016,37(4):84-85.
[12]李鹏辉,郑远松,李菲,等.利培酮对精神分裂症患者阴性症状及认知功能的影响[J].医学临床研究,2017,34(3):582-584.
[13]刘旭恩,沈姣.不同重复经颅磁刺激模式对精神分裂症患者认知功能及精神症状的影响[J].精神医学杂志,2016,29(1):521-523.
[14]石银燕,夏泳.团体心理治疗对首发精神分裂症患者认知功能、社会功能及疗效的影响[J].中华全科医学,2018,16(6):101-104.
[15] Yin Z,Li J,Yun Z,et al. Functional brain network analysis of schizophrenic patients with positive and negative syndrome based on mutual information of EEG time series[J].Biomedical Signal Processing&Control,2017,31(9):331-338.
[16] Kazem MS,Nojomi Marzieh MD,Mirabzadeh Arash MD,et al. A Comparative Study of Nurses as Case Manager and Telephone Follow-up on Clinical Outcomes of Patients with Severe Mental Illness[J]. Iranian Journal of Medical Sciences,2016,41(1):19-27.