綜合性康復護理在首次住院女性精神分裂患者中的應用效果

李柳琎

[摘要]目的 探討綜合性康復護理在首次住院女性精神分裂患者中的應用效果。方法 選取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為研究對象，按照隨機數(shù)字表法分為對照組（n=33）與觀察組（n=32）。對照組采用常規(guī)護理，觀察組在對照組基礎上采用綜合性康復護理，比較兩組護理前后簡明精神病量表（BPRS）評分、自知力與治療態(tài)度問卷（ITAQ）評分與護理滿意度。結果 護理前，兩組BPRS及ITAQ評分與服藥依從性比較，差異無統(tǒng)計學意義（P>0.05）;護理后，觀察組BPRS評分低于對照組，ITAQ評分及服藥依從性高于對照組，差異均有統(tǒng)計學意義（P<0.05）。觀察組的護理總滿意度高于對照組，差異有統(tǒng)計學意義（P<0.05）。結論 首次住院女性精神分裂患者開展綜合性康復護理能提升其自知力和滿意度，改善其服藥依從性，值得推廣。

[關鍵詞]精神分裂;首次住院;綜合性康復護理;自知力;服藥依從性

[中圖分類號] R473.74? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1674-4721（2020）7（a）-0240-04

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

LI Liu-jin

The First Department of Psychiatry， Baise Second People′s Hospital， Guangxi Zhuang Autonomous Region， Baise? ?533000， China

[Abstract] 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.

[Key words] Schizophrenia; Initially hospitalized; Comprehensive rehabilitation nursing; Insight; Medication compliance

精神分裂屬于一類原因未明、病程較長同時復發(fā)率較高的疾病，臨床癥狀包含妄想、幻想、行為紊亂及思維障礙等，其癥狀控制與預防反復發(fā)作和患者能否堅持用藥密切相關，但多數(shù)患者用藥依從性較低，不能按時用藥，最終使病情反復，影響其康復[1-2]。自知力是指患者對疾病的認知、對治療的依從性及對精神病病理性經(jīng)驗的正確描述與分辨[3]。精神分裂患者對疾病的認知力是精神科臨床中的重要內容，能給診斷及鑒別疾病和評估依從性、療效及預后提供出參考依據(jù)[4]。因此，采取有效的護理措施以提升患者的自知力和服藥依從性意義重大。伴隨護理技術進步，綜合康復護理作為臨床新型護理方式，其將多類護理措施共同應用到患者疾病康復中，從整體上加快其病情康復，提升其生活質量[5]。但有……