摘要
目的 探讨心理护理联合康复训练对精神分裂患者生活质量、社会功能的影响,以期为临床治疗提供参考。方法选取河南省开封市第五人民医院2021年1—6月收治的96例精神分裂症患者作为研究对象。采用随机数字法将患者分为对照组和观察组,每组48例。对照组患者采用常规护理。观察组患者在对照组基础上采用心理护理联合康复训练。比较2组患者干预前及干预8周时阳性与阴性症状量表(PANSS)、36条简明健康状况调查表(SF-36)、世界卫生组织残疾评定量表第2版中文版(WHO-DAS Ⅱ)评分。结果 干预前,2组患者PANSS评分比较,差异无统计学意义(P>0.05)。干预8周时,2组患者PANSS评分均低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者SF-36中精神健康、情感职能、社会功能、活力、总体健康、躯体疼痛、生理职能、生理功能评分比较,差异无统计学意义(P>0.05)。干预8周时,2组患者SF-36中精神健康、情感职能、社会功能、活力、总体健康、躯体疼痛、生理职能、生理功能评分均高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者WHO-DAS Ⅱ评分比较,差异无统计学意义(P>0.05)。干预8周时,2组患者WHO-DAS Ⅱ评分均低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。结论 心理护理联合康复训练对精神分裂症患者的生活质量、社会功能恢复均有积极影响,效果显著,值得临床推广应用。
Objective To explore the effect of psychological care combined with rehabilitation training on the quality of life and social function of patients with schizophrenia, so as to provide a reference for clinical treatment. Methods Ninety-six patients with schizophrenia admitted to the Fifth People’s Hospital of Kaifeng from January to June 2021 were selected as the study subjects. The patients were randomly assigned to the control group and observation group, with 48 cases for each group. Patients in the control group received routine care, and patients in the observation group received psychological care combined with rehabilitation training on the basis of the control group. The scores of the Positive and Negative Syndrome Scale(PANSS), 36-Item Short Form Health Survey(SF-36), and World Health Organization Disability Assessment Scale II(WHO-DAS Ⅱ) were compared between the two groups before intervention and at 8 weeks after intervention. Results Before the intervention, there was no significant difference in PANSS score between the two groups(P>0.05). At 8 weeks of intervention, the PANSS scores of patients in both groups were significantly lower than those before the intervention, and the observation group was significantly lower than the control group(P<0.05). Before the intervention, there was no significant difference in mental health, emotional function, social function, vitality, general health, physical pain, physical function, and physical function scores in SF-36 between the 2 groups(P>0.05). At 8 weeks of intervention, the scores of mental health, emotional function, social function, vitality, general health, physical pain, physical function, and physical function in SF-36 in the two groups were higher than those before the intervention, and the observation group was higher than the control group, with statistically significant differences(P<0.05). Before the intervention, there was no significant difference in WHO-DAS Ⅱ scores between the 2 groups(P>0.05). At 8 weeks of intervention, the WHO-DAS Ⅱ scores of patients in both groups were significantly lower than those before the intervention, and the observation group was significantly lower than the control group(P<0.05). Conclusion Psychological care in combination with rehabilitation training has a positive effect on the quality of life and social function of patients with schizophrenia, with marked effect. These benefits hold promise for a wider application clinically.
作者
郄莹华
李华
余宁
Qie Yinghua;Li Hua;Yu Ning(Psychiatry Department,the Fifth People's Hospital of Kaifeng,Kaifeng Henan 475003,China)
出处
《保健医学研究与实践》
2022年第10期167-170,共4页
Health Medicine Research and Practice
关键词
精神分裂症
心理护理
康复训练
生活质量
社会功能
Schizophrenia
Psychological care
Rehabilitation training
Quality of life
Social functioning
