摘要
目的探讨应宜施护在中药治疗精神分裂症患者中的促进作用。方法采用随机分组方法将入住本院精神科且符合国际疾病分类第10版(ICD-10)精神分裂症诊断标准且以宁神温胆汤治疗的精神分裂症患者111例分为研究组和对照组。研究组根据中药相生相克的性能予应宜施护,对照组施以传统中药护理,两组精神症状护理相同。共观察8周。采用PANSS、TESS和服药依从性测评判定两组的治疗效果、不良反应和依从性水平。结果治疗前,两组间精神症状PANSS总分及各因子无统计学差异(P>0.05);治疗后,两组间阳性因子和阴性因子比较差异有统计学意义(P均<0.05),一般精神病理和总分无统计学差异(P均>0.05)。治疗后,两组与治疗前比较差异有统计学意义(P均<0.05)。两组间安全性和服药依从性比较,无统计学差异(P均>0.05)。结论学习掌握中药组方及药物性能,应宜施护,更能促进精神分裂症患者的治疗效果。中药治疗引入精神科,对专科护理来说,是一种新的研究领域。中药口服有很多值得注意的事项,值得广大护理人员研究和探索。
Objective To analyze the promoting role of appropriate nursing in Chinese herbal medicine in the treatment of schizophrenia patients. Methods A total of 111 patients with schizophrenia who conformed to the diagnostic criteria of schizophrenia in ICD-10 and were treated with Ningxin Wendan decoction in our hospital were randomly divided into two groups： the study group and the control group. The study group was given appropriate nursing according to the performance of mutual promotion and restraint between TCMs. The control group was treated with traditional Chinese medicine nursing. The nursing for psychiatric symptoms was the same in both groups, and the observation was for a total of 8 weeks. PANSS, TESS and medication compliance were used for measuring to determine the therapeutic effects,adverse reactions and compliance levels. Results Psychiatric symptom： PANSS total score and various factors were statistically analyzed. Before treatment, there was no statistically significant difference between the two groups（P0.05）; at the end of treatment, both positive and negative factors were different in both groups（P0.05）, for general psychopathology and total score had no significant difference（P0.05）. At the end of treatment, the two groups scores were compared with those before the treatment, there was significant difference（P0.05） for all. There was no statistically significant difference in the safety and medication compliance between the two groups（P0.05 for both）. Conclusion It is better to be able to promote the therapeutic effect of schizophrenia patients by mastering the traditional Chinese medicine prescription and drug performance, as well as appropriate nursing care. Introduction of Chinese medicine treatment into psychiatry is a new field of research for specialized nursing care. Oral administration of Chinese medicine has a great number of precautions, which is worthy of research and exploration for nursing staff.
出处
《中国现代医生》
2017年第29期154-157,164,共5页
China Modern Doctor
基金
浙江省中医药科学研究基金项目(2017ZA140)
关键词
中药
精神分裂症
护理
Traditional Chinese medicine
Schizophrenia
Nursing
