儿童少年期精神分裂症综合护理干预对策分析
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摘要
目的研究综合护理干预在儿童少年期精神分裂症中的护理效果。方法选取我院2016年8月至2017年8月收治的80例儿童少年期精神分裂症患者,分为观察组和对照组各40例,治疗周期为6个星期。对照组给予利培酮药物治疗和常规护理模式,提供温馨舒适的住院环境和疾病相关知识的宣教;观察组在对照组的基础上关注患者情绪变化,做好体质量管理,加强日常行为训练,积极进行心理护理干预等措施。对比两组简明精神病评定量表(BPRS)评分、治疗依从性和护理满意度。结果治疗后,观察组BPRS评分(55.01±2.18)分,明显低于对照组的(68.08±2.43)分(P<0.05);观察组治疗依从性95.00%(38/40),明显高于对照组的75.00%(30/40)(Z=-2.079,P=0.038);而且观察组护理满意度92.50%(37/40),也高于对照组的77.50%(31/40)(Z=-2.211,P=0.027)。结论在儿童少年期精神分裂症中实施综合护理干预,效果显著,能够有效改善患者的精神症状,提高治疗依从性和护理满意度,值得在临床护理中推广。
Objective To study the nursing effect of comprehensive nursing intervention in children and adolescents with schizophrenia. Methods From August 2016 to August 2017,80 children and adolescents with schizophrenia were divided into observation group and control group (each of 40 patients),and were treated by risperidone for 6 weeks. The control group was given routine nursing mode providing warm and comfortable inpatient environment,and carrying out the education of disease related knowledge. While the observation group was given comprehensive nursing intervention on the basis of the control group,which was paid attention to the patient 's emotional change and weight management,strengthened daily behavior training,and actively carried out psychological nursing intervention. The brief psychiatric rating scale (BPRS) scores,therapeutic compliance and nursing satisfaction of patients were compared between the two groups. Results After treatment,the BPRS score of the observation group (55.01±2.18) was significantly lower than that of control group (68.08 ± 2.43) (P < 0.05). The therapeutic compliance of observation group95.00% (38/40) was significantly higher than that of control group 75. 00% (30/40) (Z =-2.079,P =0.038). Meanwhile,the nursing satisfaction of observation group 92.50% (37/40) was higher than control group 77.50% (31/40) (Z =-2. 211,P = 0. 027). Conclusion The effect of comprehensive nursing intervention is remarkable in children and adolescents with schizophrenia,and it is worth popularizing in clinical nursing because it can effectively improve patient's mental symptoms,treatment compliance and nursing satisfaction of patients.
Objective To study the nursing effect of comprehensive nursing intervention in children and adolescents with schizophrenia. Methods From August 2016 to August 2017,80 children and adolescents with schizophrenia were divided into observation group and control group (each of 40 patients),and were treated by risperidone for 6 weeks. The control group was given routine nursing mode providing warm and comfortable inpatient environment,and carrying out the education of disease related knowledge. While the observation group was given comprehensive nursing intervention on the basis of the control group,which was paid attention to the patient 's emotional change and weight management,strengthened daily behavior training,and actively carried out psychological nursing intervention. The brief psychiatric rating scale (BPRS) scores,therapeutic compliance and nursing satisfaction of patients were compared between the two groups. Results After treatment,the BPRS score of the observation group (55.01±2.18) was significantly lower than that of control group (68.08 ± 2.43) (P < 0.05). The therapeutic compliance of observation group95.00% (38/40) was significantly higher than that of control group 75. 00% (30/40) (Z =-2.079,P =0.038). Meanwhile,the nursing satisfaction of observation group 92.50% (37/40) was higher than control group 77.50% (31/40) (Z =-2. 211,P = 0. 027). Conclusion The effect of comprehensive nursing intervention is remarkable in children and adolescents with schizophrenia,and it is worth popularizing in clinical nursing because it can effectively improve patient's mental symptoms,treatment compliance and nursing satisfaction of patients.
引文
[1]张丽霞,朱俊敬,张琛.儿童少年期与成年期精神分裂症的临床特征分析[J].中国实用神经疾病杂志,2015,18(16):86-87.
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[4]孙福玲.综合护理干预对精神分裂症患者社会功能的影响[J].精神医学杂志,2014,27(2):131-132.
[5]王国庆.探讨利培酮治疗精神分裂症的不良反应和护理干预措施[J].中国卫生标准管理,2017,8(9):158-160.
[6]卢微,谭扬亚,刘彦茹,等.小组心理护理在青少年抑郁症患者中的临床效果[J].国际精神病学杂志,2016,43(6):1055-1058.
[7]潘洪润,史玉清,程顺智,等.氨磺必利治疗儿童少年期精神分裂症的临床疗效[J].临床合理用药杂志,2017,10(30):48-49.
[8]刘琳,岳淑英,卢世臣,詹来英.综合护理干预对精神分裂症患者社会技能及生活质量的影响[J].护理学杂志,2006,21(13):10-13.
[9]张明园.精神科评定量表手册[M].2版.长沙:湖南科学出版社,2003:81-94,214-217.
[10]阿怀红,柯晓燕.美国《儿童青少年精神分裂症评估与治疗实践参考》介绍[J].中华精神科杂志,2015,48(5):317.
[2]刘哲宁,杨方宇.精神科护理学[M].北京:人民卫生出版社,2017:217.
[3]王秀珍,苏荣坤,李泓锦,等.多家庭治疗对儿童精神分裂症患者康复的疗效研究[J].沈阳医学院院报,2016,18(5):336-337.
[4]孙福玲.综合护理干预对精神分裂症患者社会功能的影响[J].精神医学杂志,2014,27(2):131-132.
[5]王国庆.探讨利培酮治疗精神分裂症的不良反应和护理干预措施[J].中国卫生标准管理,2017,8(9):158-160.
[6]卢微,谭扬亚,刘彦茹,等.小组心理护理在青少年抑郁症患者中的临床效果[J].国际精神病学杂志,2016,43(6):1055-1058.
[7]潘洪润,史玉清,程顺智,等.氨磺必利治疗儿童少年期精神分裂症的临床疗效[J].临床合理用药杂志,2017,10(30):48-49.
[8]刘琳,岳淑英,卢世臣,詹来英.综合护理干预对精神分裂症患者社会技能及生活质量的影响[J].护理学杂志,2006,21(13):10-13.
[9]张明园.精神科评定量表手册[M].2版.长沙:湖南科学出版社,2003:81-94,214-217.
[10]阿怀红,柯晓燕.美国《儿童青少年精神分裂症评估与治疗实践参考》介绍[J].中华精神科杂志,2015,48(5):317.