中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
12期
1414-1417
,共4页
行为疗法%无家可归者%精神分裂症%护理干预
行為療法%無傢可歸者%精神分裂癥%護理榦預
행위요법%무가가귀자%정신분렬증%호리간예
Behavior therapy%Homeless persons%Schizophrenia%Nursing intervention
目的 探讨行为矫正干预对流浪精神分裂症患者生活自理能力的影响.方法 52例流浪精神分裂症患者随机分为两组,对照组26例接受常规治疗及护理,干预组26例在常规治疗与护理的同时给予行为矫正.分别于干预前及干预后8周用护士住院患者观察量表(NOSIE)进行影响效果评定.结果 干预前2组患者NOSIE评分差异无统计学意义(P＞0.05).干预8周后,干预组患者NOSIE评分社会能力(35.10±3.89)分、社会兴趣(28.87±3.08)分、个人整洁(28.15±2.41)分,均高于对照组(20.34±2.38)分,(19.98±2.54)分,(21.43 ±2.42)分,比较差异有统计学意义(t分别为17.56,12.03,9.01,P＜0.01)；迟缓(6.78±2.11)分、抑郁(5.23±1.38)分,均低于对照组(11.59±2.65)分,(11.79±2.65)分,两组比较差异有统计学意义(t分别为7.61,11.2,P＜0.01)；激惹比较差异无统计学意义(P＞0.05).结论 行为矫正干预有助于提高流浪精神分裂症患者的生活自理能力,可缓解护理人员的部分工作压力.
目的 探討行為矯正榦預對流浪精神分裂癥患者生活自理能力的影響.方法 52例流浪精神分裂癥患者隨機分為兩組,對照組26例接受常規治療及護理,榦預組26例在常規治療與護理的同時給予行為矯正.分彆于榦預前及榦預後8週用護士住院患者觀察量錶(NOSIE)進行影響效果評定.結果 榦預前2組患者NOSIE評分差異無統計學意義(P＞0.05).榦預8週後,榦預組患者NOSIE評分社會能力(35.10±3.89)分、社會興趣(28.87±3.08)分、箇人整潔(28.15±2.41)分,均高于對照組(20.34±2.38)分,(19.98±2.54)分,(21.43 ±2.42)分,比較差異有統計學意義(t分彆為17.56,12.03,9.01,P＜0.01)；遲緩(6.78±2.11)分、抑鬱(5.23±1.38)分,均低于對照組(11.59±2.65)分,(11.79±2.65)分,兩組比較差異有統計學意義(t分彆為7.61,11.2,P＜0.01)；激惹比較差異無統計學意義(P＞0.05).結論 行為矯正榦預有助于提高流浪精神分裂癥患者的生活自理能力,可緩解護理人員的部分工作壓力.
목적 탐토행위교정간예대류랑정신분렬증환자생활자리능력적영향.방법 52례류랑정신분렬증환자수궤분위량조,대조조26례접수상규치료급호리,간예조26례재상규치료여호리적동시급여행위교정.분별우간예전급간예후8주용호사주원환자관찰량표(NOSIE)진행영향효과평정.결과 간예전2조환자NOSIE평분차이무통계학의의(P＞0.05).간예8주후,간예조환자NOSIE평분사회능력(35.10±3.89)분、사회흥취(28.87±3.08)분、개인정길(28.15±2.41)분,균고우대조조(20.34±2.38)분,(19.98±2.54)분,(21.43 ±2.42)분,비교차이유통계학의의(t분별위17.56,12.03,9.01,P＜0.01)；지완(6.78±2.11)분、억욱(5.23±1.38)분,균저우대조조(11.59±2.65)분,(11.79±2.65)분,량조비교차이유통계학의의(t분별위7.61,11.2,P＜0.01)；격야비교차이무통계학의의(P＞0.05).결론 행위교정간예유조우제고류랑정신분렬증환자적생활자리능력,가완해호리인원적부분공작압력.
Objective To evaluate the effect of behavior modification intervention on the self-care abilities of homeless patients with schizophrenia.Methods Totals of 52 homeless patients with schizophrenia were randomly divided into intervention group and control group with 26 cases in each group.The control group received traditional treatment and care,while intervention group received behavior modification combined with routine treatment and care.The nurses scale ( NOSIE ) was used to assess the effectiveness of treatment before the intervention and eight weeks after the intervention.Results There was no difference in NOSIE score in patients before intervention (P＞0.05).Eight weeks after intervention,NOSIE scores of social competence (35.10 ± 3.89),social interest (28.87 ± 3.08)and personal cleanliness (28.15 ± 2.41 )in intervention group were higher than (20.34 + 2.38 ),( 19.98 ± 2.54),( 21.43 ± 2.42 ) control group,and the difference was statistically significant(t =17.56,12.03,9.01,respeetively;P ＜ 0.01 ).Retardation score was (6.78 ± 2.11 ) and depression score was ( 5.23 ± 1.38 ) significantly lower than ( 11.59 ± 2.65 ),( 11.79 ± 2.65 ) in control group(t =7.61,11.2,respectively;P ＜0.01 ).The difference of irritation in two groups was not statistically significant( P ＞ 0.05 ).Conclusions Behavior modification intervention can improve self-care abilities of homeless patients with schizophrenia and can relieve working pressure of nurses in some extent.
