国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2009年
12期
1593-1597
,共5页
精神分裂症%健康管理%服药依从性%复发%随访
精神分裂癥%健康管理%服藥依從性%複髮%隨訪
정신분렬증%건강관리%복약의종성%복발%수방
Schizophrenia%Health management%Taking medicine compliance%Recurrence%Follow up
目的 探讨健康管理模式在预防社区精神分裂症复发中的效果.方法 随机选取60例康复出院的精神分裂症患者(观察组),给予为期18个月的精神分裂症健康管理模式,采用健康知识知晓率、服药依从性、简明精神病量表(BPRS)、社会功能缺陷程度筛选量表(SDSS)以及复发率等指标综合评价治疗效果,并与同期康复出院的60例精神分裂症患者(对照组)进行各项评价指标的参照对比.结果 出院时,两组患者健康教育知识掌握水平和服药依从性,BPRS以及SDSS均无统计学差异(P>0.05),实施健康管理模式后,在6个月、12个月和18个月的随访调查中,观察组在健康教育知识掌握水平,服药依从性,BPRS、SDSS和复发率等评定指标明显好于对照组,两组比较具有明显性差异(P<0.01).结论 健康管理模式能够降低社区精神分裂症患者的复发,值得在社区中推广应用.
目的 探討健康管理模式在預防社區精神分裂癥複髮中的效果.方法 隨機選取60例康複齣院的精神分裂癥患者(觀察組),給予為期18箇月的精神分裂癥健康管理模式,採用健康知識知曉率、服藥依從性、簡明精神病量錶(BPRS)、社會功能缺陷程度篩選量錶(SDSS)以及複髮率等指標綜閤評價治療效果,併與同期康複齣院的60例精神分裂癥患者(對照組)進行各項評價指標的參照對比.結果 齣院時,兩組患者健康教育知識掌握水平和服藥依從性,BPRS以及SDSS均無統計學差異(P>0.05),實施健康管理模式後,在6箇月、12箇月和18箇月的隨訪調查中,觀察組在健康教育知識掌握水平,服藥依從性,BPRS、SDSS和複髮率等評定指標明顯好于對照組,兩組比較具有明顯性差異(P<0.01).結論 健康管理模式能夠降低社區精神分裂癥患者的複髮,值得在社區中推廣應用.
목적 탐토건강관리모식재예방사구정신분렬증복발중적효과.방법 수궤선취60례강복출원적정신분렬증환자(관찰조),급여위기18개월적정신분렬증건강관리모식,채용건강지식지효솔、복약의종성、간명정신병량표(BPRS)、사회공능결함정도사선량표(SDSS)이급복발솔등지표종합평개치료효과,병여동기강복출원적60례정신분렬증환자(대조조)진행각항평개지표적삼조대비.결과 출원시,량조환자건강교육지식장악수평화복약의종성,BPRS이급SDSS균무통계학차이(P>0.05),실시건강관리모식후,재6개월、12개월화18개월적수방조사중,관찰조재건강교육지식장악수평,복약의종성,BPRS、SDSS화복발솔등평정지표명현호우대조조,량조비교구유명현성차이(P<0.01).결론 건강관리모식능구강저사구정신분렬증환자적복발,치득재사구중추엄응용.
Objective To discuss the effect of the health management model for Schizophrenia patients in the community. Methods 60 case of Schizophrenia patentions by random selected who leaved hosptial after convalescence (the management group) , were given the health management mode for 18 months. The effects were evaluated by the targets such as the awareness rate of health knowledge, taking medicine compliance, BPRS, SDSS and the recurrence rate. and the effect was refered balance with 60 case of Schizophrenia patients (the control group) , the the management group and the control grup were in the same time. Results When the two groups leaved hospital, the awareness rate of health knowledge, taking medicine compliance、 BPRS、 SDSS of the management group were as same as those of the control group ( P > 0. 05 ) . After the health management mode was given, 6, 12 and 18 months, the awareness rate of health knowledge, taking medicine compliance, BPRS, SDSS and the recurrence rate of the management group were better than those of the control group ( P < 0. 01). Conclusions The health management mode of Schizophrenia could reduce the recurrence rate of Schizophrenia, which is beneficial to developing caring behavior and improving the patients satisfaction, it is worth of popularization and application.
