药物自我管理训练对精神分裂症的护理观察
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摘要
目的精神分裂症患者护理应用药物自我管理训练的效果。方法选取我院2016年7月—2017年7月精神科诊治的108例精神分裂患者作为研究对象,将其随机分为两组,每组各54例。对照组采用常规护理,观察组在其基础上,行药物自我管理训练,比较两组患者的精神分裂症状、依从性等。结果观察组护理3个月后的PANSS总分(31.47±6.93)分相比对照组低(P <0.01);观察组护理3个月后的用药依从率96.30%相比对照组高(P <0.01);观察组BPRS评分(21.34±1.20)分相比对照组低(P <0.01)。结论药物自我管理训练能有效减轻精神分裂症患者病情,改善精神状态,提升药物依从性。
Objective To explore the effect of self-management training on medication in patients with schizophrenia. Methods The clinical data of 108 patients with schizophrenia were collected from those who had been diagnosed and treated in the department from July 2016 to July 2017.They were randomly divided into two groups, with 54 cases in each group.The control group received routine nursing, and the observation group underwent self-management training on medication. The schizophrenia symptoms and compliance were compared between the two groups. Results The total score of PANSS in the observation group was(31.47±6.93) points after treatment for 3 months, lower than that in the control group(P<0.01).The compliance rate in the observation group after treatment for 3 months was 96.30%, higher than that in the control group(P<0.01). The BPRS score in the observation group was(21.34±1.20) points, lower than that in the control group(P<0.01). Conclusion For patients with schizophrenia,self-management training on medication can help alleviate their condition,and improve their mental state and their compliance with medication.
Objective To explore the effect of self-management training on medication in patients with schizophrenia. Methods The clinical data of 108 patients with schizophrenia were collected from those who had been diagnosed and treated in the department from July 2016 to July 2017.They were randomly divided into two groups, with 54 cases in each group.The control group received routine nursing, and the observation group underwent self-management training on medication. The schizophrenia symptoms and compliance were compared between the two groups. Results The total score of PANSS in the observation group was(31.47±6.93) points after treatment for 3 months, lower than that in the control group(P<0.01).The compliance rate in the observation group after treatment for 3 months was 96.30%, higher than that in the control group(P<0.01). The BPRS score in the observation group was(21.34±1.20) points, lower than that in the control group(P<0.01). Conclusion For patients with schizophrenia,self-management training on medication can help alleviate their condition,and improve their mental state and their compliance with medication.
引文
[1]梁胜林,冯虹.精神分裂患者注射棕榈酸帕利哌酮治疗依从性影响因素分析[J].中华全科医学,2018,16(5):765-767,780.
[2]王正君,周郁秋,杨军,等.精神科护士主导的依从性干预对精神分裂症患者临床结局影响的Meta分析[J].中华护理杂志,2017,52(8):958-966.
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[5]吕扬,李峥,韩美英,等.门诊老年抑郁症患者服药依从性的影响因素分析[J].中华护理杂志,2015,50(10):1203-1206.
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[7]陈耀金.家庭干预联合药物自我管理技能训练治疗精神分裂症的疗效[J].中国实用神经疾病杂志,2015,18(4):20-22.
[8]李丹.药物自我管理训练对精神分裂症病人用药依从性及康复效果的影响[J].医学理论与实践,2018,31(22):3446-3447.
[9]王国宁,王志英,刘国莲.药物自我管理训练对精神分裂症患者疗效的影响[J].宁夏医学杂志,2014,36(9):801-802.
[10]周湘梅,马莹,吴虹.药物管理训练提高精神分裂症患者社会功能与生活质量的研究[J].中华现代护理杂志,2015,21(19):2273-2275.
[11]汤惠璇,黄雪宜,陈惠清.药物治疗的自我管理训练在精神分裂症患者康复期中的应用[J].当代护士(上旬刊),2018(9):131-132.
[12]陈艳.药物自我管理强化教育联合分段进阶训练活动在精神分裂症患者中的应用[J].护理实践与研究,2017,14(6):39-41.
[2]王正君,周郁秋,杨军,等.精神科护士主导的依从性干预对精神分裂症患者临床结局影响的Meta分析[J].中华护理杂志,2017,52(8):958-966.
[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):184-188.
[4]杨卫华.阿立哌唑联合音乐疗法治疗精神分裂症的疗效及对患者生活质量的影响[J].中华全科医学,2016,14(2):261-263.
[5]吕扬,李峥,韩美英,等.门诊老年抑郁症患者服药依从性的影响因素分析[J].中华护理杂志,2015,50(10):1203-1206.
[6]徐朝英,胡筱峰,张家美,等.个性化干预对精神分裂症患者社会功能康复的影响[J].中华现代护理杂志,2016,22(25):3603-3606.
[7]陈耀金.家庭干预联合药物自我管理技能训练治疗精神分裂症的疗效[J].中国实用神经疾病杂志,2015,18(4):20-22.
[8]李丹.药物自我管理训练对精神分裂症病人用药依从性及康复效果的影响[J].医学理论与实践,2018,31(22):3446-3447.
[9]王国宁,王志英,刘国莲.药物自我管理训练对精神分裂症患者疗效的影响[J].宁夏医学杂志,2014,36(9):801-802.
[10]周湘梅,马莹,吴虹.药物管理训练提高精神分裂症患者社会功能与生活质量的研究[J].中华现代护理杂志,2015,21(19):2273-2275.
[11]汤惠璇,黄雪宜,陈惠清.药物治疗的自我管理训练在精神分裂症患者康复期中的应用[J].当代护士(上旬刊),2018(9):131-132.
[12]陈艳.药物自我管理强化教育联合分段进阶训练活动在精神分裂症患者中的应用[J].护理实践与研究,2017,14(6):39-41.