摘要
目的在精神分裂症治疗过程中应用人性化保护性约束护理措施,观察其护理效果。方法选取精神分裂症患者120例,按照随机数字表法将患者分为观察组与对照组各60例。对照组在普通病房常规使用约束带约束患者肢体,定时评估患者情况,观察组在护理示范病房,在对照组护理基础上加入人性化护理措施,约束过程中给予心理疏导,按摩受压部位皮肤,倾听患者诉求,尊重患者隐私,正性引导和鼓励患者等。对比两组精神分裂症阳性和阴性综合征量表(PANSS)、住院病人观察量表、意外事件、强制性约束使用频率及护理满意度等情况。结果两组PANSS量表总分均较治疗前明显降低(P <0. 05)。观察组经人性化护理措施后,住院病人观察量表中激惹及病情总估计得分为(6. 94±5. 24)分和(177. 72±13. 67)分,明显低于对照组的(8. 33±5. 31)分和(188. 83±13. 46)分(均P <0. 05);退缩得分(1. 67±1. 65)分,低于对照组的(2. 22±2. 16)分(P <0. 05)。观察组约束中意外事件率、约束带使用率明显优于对照组(均P <0. 05);护理满意率98. 33%(59/60),也优于对照组的86. 67%(52/60)(P <0. 05)。结论将人性化措施运用于保护性约束中,有利于缓解患者的不良情绪,避免躯体损伤,有良好的临床应用价值。
Objective To observe the nursing effect of humanized protective constraint measures in schizophrenic patients.Methods There were 120 patients with schizophrenia that randomly divided into the observation group and the control group （each of 60 cases）. The control group was routinely used the restraint strap to restrict the limbs of the patients in the general ward. The observation group in the nursing demonstration ward were added humanistic protective constraint nursing measures on the basis of the control group, such as giving psychological guidance in the process of restraint, massaging the skin of the part pressed, listening to the patient’s appeal, respecting the patient’s privacy, guiding and encouraging patients positively. The schizophrenic positive and negative syndrome scale （PANSS）, inpatient observation scale, accidental events, frequency of constrained use frequency and nursing satisfaction were compared in two groups.Results The PANSS scales were significantly lower than those before treatment in two groups （all P 〈0.05）. After humanized nursing measures, the scores of irritation and total estimated score of patient’s condition in the observation group respectively were （6.94±5.24） and （177.72±13.67） scores, which were significantly lower than control group （8.33±5.31） and （188.83±13.46） scores （all P 〈0.05）. However, the withdrawal score （1.67±1.65） in observation group was lower than control group （2.22± 2.16 ）（ P 〈0.05）. In the observation group, the rate of accident and the use rate of restriction band were significantly superior to the control group （all P 〈0.05）, and the nursing satisfaction rate 98.33%（59/60） was better than control group 86.67% （52/60）（ P 〈 0.05）.Conclusion Applying humanized protective constraint nursing measures in schizophrenic patients is helpful to alleviating patients＇ bad mood and avoiding physical damage, and has good clinical application value.
作者
殷凤娟
孟肖婷
孙鸿君
YIN Feng-juan;MENG Xiao-ting;SUN Hong-jun(Luoyang Fifth People＇s Hospital,Luoyang 471000,China)
出处
《河南科技大学学报（医学版）》
2018年第3期230-232,共3页
Journal of Henan University of Science & Technology:Medical Science
关键词
精神分裂症
优化保护性约束
人性化护理
schizophrenia
optimization of protective constraint
humanized nursing
