摘要
【目的】探讨人文关怀病房对住院治疗精神分裂症患者服药依从性、社会功能及满意度的影响。【方法】选择2016年7月至2017年6月本院精神科普通病房收治的精神分裂症患者78例为对照组,将2017年7月至2018年6月人文关怀病房创建后收治的精神分裂症患者85例为观察组,对照组给予常规护理措施,观察组在对照组基础上采取人文关怀病房护理。对比两组入院时,入院2周、4周、6周服药依从性、个人和社会功能量表(PSP)、简明精神病量表(BPRS)以及出院时患者对护理的满意度。【结果】观察组服药依从性为92.94%(79/85)显著优于对照组的80.77%(63/78),差异有统计学意义(Z=-2.454,P<0.05)。入院2周、4周、6周两组患者PSP评分高于入院时,BPRS评分低于入院时,且入院4周、6周观察组患者PSP评分高于对照组,BPRS评分低于对照组,差异均有统计学意义(P<0.05)。出院时,观察组患者对护理服务、心理健康教育、人文关怀以及满意度总分显著高于对照组(P<0.05)。【结论】人文关怀病房护理可有助于精神分裂症患者临床症状的改善,提高患者服药依从性、社会功能及护理满意度,值得临床推广运用。
【Objective】To analyze the influence of humanistic care ward on medication compliance,social function and patient satisfaction of inpatients with schizophrenia.【Methods】A total of 78 schizophrenics admitted to the general psychiatric ward of our hospital were selected as the control group,and 85 schizophrenics admitted after the establishment of humanistic care ward were taken as the observation group.The control group was given routine nursing measures,and the observation group was given humanistic care ward nursing on the basis of the control group.The medication compliance,personal and social function scale(PSP),concise psychiatric scale(BPRS),and patient satisfaction at discharge at admission of 2 weeks,4 weeks,and 6 weeks of admission were compared in the two groups.【Results】The PSP scores were higher in the two groups at admission for 2 weeks,4 weeks and 6 weeks,the BPRS score was lower than that at admission,and the PSP score in the observation group at 4 weeks and 6 weeks was higher than that in the control group,and the BPRS score was lower than that of the control group,the difference was statistically significant(P<0.05).The total scores of nursing service,mental health education,humanistic care and satisfaction in the observation group were significantly higher than those in the control group(P<0.05).【Conclusion】Humanistic care ward nursing can improve the clinical symptoms of schizophrenics,improve the compliance of patients with medication,social function and nursing satisfaction,which is worthy of clinical application.
作者
戴进军
罗尧岳
虞建英
李梅枝
肖英
刘娟
DAI Jin-jun;LUO Yao-yue;YU Jian-ying(School of Nursing Hunan University of Chinese Medicine,Changsha,Hunan,410208,China)
出处
《医学临床研究》
CAS
2020年第1期33-35,38,共4页
Journal of Clinical Research
基金
宁夏回族自治区重点研发计划项目(2O19BFGO2O23)
湖南省医药卫生科研项目(B2016025)
湖南省脑科医院院级课题(2017D05)。
