精神分裂症患者出院后实施医院-家庭延续护理的临床效果
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摘要
目的观察医院-家庭延续护理应用于精神分裂症患者的护理效果。方法选取2014年5月至2017年6月惠州市第二人民医院收治的精神分裂症患者112例为研究对象,随机分为对照组和研究组各56例。对照组给予常规院内护理及出院指导,研究组在此基础上应用医院-家庭延续护理方案,对比分析两组护理效果。结果研究组与对照组出院时的各项IPROS评分、WHODASⅡ评分以及用药依从度差异均无统计学意义(P>0.05);出院6个月后研究组与对照组各项IPROS评分、WHO-DASⅡ评分以及用药依从度均低于出院时评分,且研究组的各项IPROS评分、WHO-DASⅡ评分均低于对照组,用药依从度高于对照组,差异均有统计学意义(P<0.05)。结论对出院后的精神分裂症患者采用医院-家庭延续护理,可有效提高患者的用药依从度,改善患者社会功能以及生存质量。
Objective To observe the nursing effect of continuous family nursing in schizophrenia patients.Methods A total of 112 schizophrenia patients treated in the Second People's Hospital of Huizhou from May 2014 to June 2017 were selected and randomly divided into two groups,with 56 cases in each group.Control group was given routine hospital care and discharge guidance.On this basis,the hospital family continuation nursing program was applied to the research group.The nursing effects of the two groups were compared and analyzed.Results There was no significant difference in IPROS score,WHO-DAS II score and medication compliance of the study group and the control group on discharge(P>0.05).After 6 months of discharge,the IPROS scores,WHO-DAS II scores and drug compliance of the research group and the control group were lower than that of the discharge time,all the IPROS scores and WHO-DAS II scores of the study group were lower than those of control group,the medication compliance was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The use of hospital family continuation care for patients with schizophrenia after discharge can effectively improve the compliance of the patients,and improve the social function and the quality of life of the patients.
Objective To observe the nursing effect of continuous family nursing in schizophrenia patients.Methods A total of 112 schizophrenia patients treated in the Second People's Hospital of Huizhou from May 2014 to June 2017 were selected and randomly divided into two groups,with 56 cases in each group.Control group was given routine hospital care and discharge guidance.On this basis,the hospital family continuation nursing program was applied to the research group.The nursing effects of the two groups were compared and analyzed.Results There was no significant difference in IPROS score,WHO-DAS II score and medication compliance of the study group and the control group on discharge(P>0.05).After 6 months of discharge,the IPROS scores,WHO-DAS II scores and drug compliance of the research group and the control group were lower than that of the discharge time,all the IPROS scores and WHO-DAS II scores of the study group were lower than those of control group,the medication compliance was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The use of hospital family continuation care for patients with schizophrenia after discharge can effectively improve the compliance of the patients,and improve the social function and the quality of life of the patients.
引文
[1]姚晶晶,隋毓秀,周群,等.精神分裂症和情绪认知障碍[J].国际精神病学杂志,2015,42(2):116-119.
[2]徐琼,陈玲,胡婷,等.首发精神分裂症患者于出院后实施延续性护理对其康复影响分析[J].国际精神病学杂志,2015,42(3):34-37.
[3]中华医学会精神病学分会.中国精神障碍分类与诊断标准第三版(精神障碍分类)[J].中华精神科杂志,2001,34(3):59-63.
[4]李华.延续性护理对首发精神分裂症病人出院后康复的影响[J].中华全科医学,2013,11(6):980-981.
[5]李遵清,韩鹏,仇爱玫.积极心理学理论在精神分裂症康复护理中的应用效果[J].中华护理杂志,2013,48(12):1098-1101.
[6]文艳,郝军锋,熊令辉.医院-社区-家庭康复模式改善精神分裂症患者生存质量的作用探讨[J].临床护理杂志,2017,16(1):29-31.
[7]罗思欢,孙丽娜,邱玛丽,等.团体心理干预对精神分裂症患者康复状况及社会功能的影响[J].国际护理学杂志,2017,36(5):644-646.
[8]顾海英,徐美英,陈海琴,等.医护综合健康指导对首发精神分裂症患者出院后服药依从性的研究[J].医院管理论坛,2017,34(9):39-42.
[9]黄先娥.延续性护理对社区精神分裂症患者遵医行为及生活质量的影响[J].实用临床医药杂志,2015,19(12):20-22.
[10]姜美兰,章秋萍,蒋小琴.家庭护理干预对精神分裂症照料者心理健康的影响[J].护理与康复,2014,13(4):314-316.
[11]黎丽华,陈汝兰,黄慈芬,等.家庭护理干预对精神分裂症患者社会功能及生活质量的影响[J].现代医院,2014,14(1):154-156.
[12]唐丽,罗捷,冉江峰,等.家庭护理干预对社区精神分裂症的康复效果[J].重庆医学,2015,44(34):4839-4840.
[13]翟爱玲,李遵清.家庭护理干预对精神分裂症患者生活质量的影响[J].国际护理学杂志,2015,34(13):1768-1772.
[2]徐琼,陈玲,胡婷,等.首发精神分裂症患者于出院后实施延续性护理对其康复影响分析[J].国际精神病学杂志,2015,42(3):34-37.
[3]中华医学会精神病学分会.中国精神障碍分类与诊断标准第三版(精神障碍分类)[J].中华精神科杂志,2001,34(3):59-63.
[4]李华.延续性护理对首发精神分裂症病人出院后康复的影响[J].中华全科医学,2013,11(6):980-981.
[5]李遵清,韩鹏,仇爱玫.积极心理学理论在精神分裂症康复护理中的应用效果[J].中华护理杂志,2013,48(12):1098-1101.
[6]文艳,郝军锋,熊令辉.医院-社区-家庭康复模式改善精神分裂症患者生存质量的作用探讨[J].临床护理杂志,2017,16(1):29-31.
[7]罗思欢,孙丽娜,邱玛丽,等.团体心理干预对精神分裂症患者康复状况及社会功能的影响[J].国际护理学杂志,2017,36(5):644-646.
[8]顾海英,徐美英,陈海琴,等.医护综合健康指导对首发精神分裂症患者出院后服药依从性的研究[J].医院管理论坛,2017,34(9):39-42.
[9]黄先娥.延续性护理对社区精神分裂症患者遵医行为及生活质量的影响[J].实用临床医药杂志,2015,19(12):20-22.
[10]姜美兰,章秋萍,蒋小琴.家庭护理干预对精神分裂症照料者心理健康的影响[J].护理与康复,2014,13(4):314-316.
[11]黎丽华,陈汝兰,黄慈芬,等.家庭护理干预对精神分裂症患者社会功能及生活质量的影响[J].现代医院,2014,14(1):154-156.
[12]唐丽,罗捷,冉江峰,等.家庭护理干预对社区精神分裂症的康复效果[J].重庆医学,2015,44(34):4839-4840.
[13]翟爱玲,李遵清.家庭护理干预对精神分裂症患者生活质量的影响[J].国际护理学杂志,2015,34(13):1768-1772.