摘要
目的 探讨护理干预对首发精神分裂症病人生活质量的影响。方法 将 118例首发精神分裂症病人随机分为观察组和对照组各 5 9例 ,两组均予以利培酮系统治疗 ,观察组在此基础上 ,予以综合性护理干预措施 ,时间为 8周 ,随后进行为期 1年的随访。采用阴性与阳性症状量表 (PANSS)及生活质量量表 (WHO ,QOL - 10 0 )分别于治疗前及随访结束时进行评估。结果 随访结束时 ,两组病人的PANSS总分及阴、阳性症状评分均较治疗前明显降低 (P <0 .0 1) ,但观察组明显优于对照组(P <0 .0 1) ;观察组病人在生活质量总评、心理领域、独立性领域及社会关系领域评分亦均明显优于对照组 (P <0 .0 5或P <0 .0 1)。结论 护理干预有助于改善首发精神分裂症病人的精神症状 ,提高其生活质量。
Objective To study the effect of nursing intervention on quality of life in patients with first-episode schizophrenia. Methods 118 patients with first episode schizophrenia were randomly divided into observed group (n=59) and controlled group (n=59). Patients in both groups were treated with antipsychotic medication. Patients in observed group received nursing intervention for 8 weeks. Both groups were followed-up for one year. Patients were evaluated with PANSS and WHO QOL-100 before intervention and at the end of follow-up.Results Compared with the records before intervention,both the two groups reduced in PANSS total score,negative and positive symptoms score at the end of follow-up (P<0.01). But the improvement in observed group was significantly better than that of controlled group (P<0.01).But the improvement in observed group in general evaluation and areas of mental,dependence and social relation was better than that of controlled group (P<0.05 or P<0.01).Conclusion Nursing intervention could help to improve the symptoms of first-episode schizophrenia and enhance their quality of life.
出处
《护理管理杂志》
2004年第4期3-5,共3页
Journal of Nursing Administration
关键词
精神分裂症
护理干预
生活质量
随访
schizophrenia
nursing intervention
quality of life
follow-up
