摘要
目的探讨“十字法”护理干预对长期住院的慢性精神分裂症患者自理行为和自理能力的影响。方法将116例精神分裂症患者随机分成干预组和对照组各58例。在药物治疗的基础上,干预组实行“十字法”(床、衣、饭、药、言、动、安全、卫生)护理干预,对照组实行传统看管式护理。于干预前及干预后第8周末,用自制的“十字法”干预评价标准表、住院精神患者康复疗效评定量表(IPROS)、日常生活能力量表(ADL)对2组患者的自理行为、日常生活自理能力层次及社会功能缺陷程度进行评定,并进行对照比较。结果干预后患者的自理能力明显强于对照及干预前,差异有极显性意义(P<0.01);IPROS总分及各因子评分、ADL躯体生活自理量表及工具性生活量表评分均低于对照组及干预前,差异有显著性或非常显著性意义(P<0.05或P<0.01)。结论“十字法”护理干预可有效改善慢性精神分裂症患者自理行为和社会功能缺陷,促进日常生活自理能力的提高。
Objective To explore the effect of ＂ten word methods＂ nursing on self care behavior and self-care ability of long term inpatients with chronic schizophrenia. Methods 116 patients with schizophrenia were divided randomly into two groups： intervention group （n=58） and control group （n =58）. Patients in intervention group were given ＂ten word methods＂ nursing （including bed, cloth, meat, medicine, speaking, movement, safety, sanitation, et al） on the basis of antipsychotic, and those in control group were given traditional nursing. The patient＇s self care behavior, abilities of daily life （ADL） and social function defect were evaluated by self-designed questionnaire, IPROS and ADL be fore the intervention and at the end of 8th week intervention. Results After 8- week intervention, self care ability of the patients in intervention group were obviously improved than before and than that of the patients in control group （P 〈 0.01） ; and the total score and every factor score of IPROS, physical self care score and tool living score of ADL of intervention group were significantly lower than before and than that of control group （P 〈 0.05 or P 〈 0.01）. Conclusions ＂Ten words method＂ nursing can significantly improve the self-care behavior and social function defect of the patients with chronic schizophrenia and strengthen their ADL.
出处
《现代护理》
2006年第21期2025-2027,共3页
Modern Nursing
关键词
精神分裂症
自理能力
十字法
护理
Schizophrenia
Self-care ability
Ten words methods
Nursing
