摘要
目的探讨社区护理干预和训练对康复期精神分裂症患者的作用。方法将50例康复期精神分裂症患者纳入社区护理管理,随机分为干预组25例和对照组25例,进行为期1年的追踪随访,采用简明精神病评定量表(BPRS)、社区护理功能缺陷筛选量表(SDSS)和自知力与治疗态度问卷(ITAQ),在入组、干预6个月和12个月时进行康复效果对照评估。结果干预组在随访12个月时的BPRS、SDSS、ITAQ评分、服药依从性、复发率和再住院率、肇事肇祸的次数均显著优于对照组(P<0.01或P<0.05)。结论开展社区护理干预和训练,可提高社区护理康复期精神分裂症患者的服药依从性,降低复发率和再住院率,减少肇事肇祸行为,恢复社会功能,效果显著。
Objective To explore the effects of community nursing intervention on 50 convalescent schizophrenics. Methods 50 cases were brought into a community nursing management and randomized into 2 groups, intervention group for 25 cases and control group for 25 cases, followed up for one year. The rehabilitation efficacy were assessed by Brief Psychiatric Rating Scale (BPRS), Social Disability Screening Schedule (SDSS) and Insight Treatment Attitude Questionnaire (ITAQ), those were performed at the admission time of before the intervention, intervened for half a year and one year. Results The scores of BPRS, SDSS and ITAQ, medicine adherence, the reoccurrence rate and re-hospitalization rate and the number of troublemaking after one year of intervention group were significantly better than those of control group (P <0.01 or P <0.05). Conclusion Community nursing intervention is an effective way to strengthen medicine adherence of the convalescent schizophrenics, decrease the rate of recurrence and re -hospitalization, reduce the behavior of troublemaking and restore their social function. The effect is remarkable.
关键词
社区护理干预
康复期精神分裂症
临床治疗影响
Community nursing intervention
Convalescent schizophrenics
Clinical treatment effects
