国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2011年
4期
589-592
,共4页
护理干预%精神分裂症%照料者
護理榦預%精神分裂癥%照料者
호리간예%정신분렬증%조료자
Nursing Intervention%Schizophrenia%Caregivers
目的 探讨以家庭为中心的干预对精神分裂症患者社会功能与照料者心理健康的影响.方法 将临床"痊愈"出院的精神分裂症患者112例随机分为研究组(56例)和对照组(56例).对照组给予抗精神药物维持治疗和一般的心理教育;研究组在此基础上,实施以家庭为中心的护理干预.出院后每3个月深入家庭进行家访或给予针对性具体指导,观察时间为1年.采用症状自评量表(SCL-90)和社会功能缺陷筛查量表(SDSS)、服药依从性量表,分别对家庭照料者和患者于人组时、1年后进行评定.结果 1年后,家庭照料者的SCL-90各因子分除偏执、精神病性两因子外其余各因子研究组均低于对照组,有显著性差异(P＜0.05或P＜0.01);研究组服药依从性高于对照组,有显著性差异(P＜0.01);研究组患者SDSS各因子分低于对照组,有显著性差异(P＜0.05或P＜0.01).结论 以家庭为中心的护理干预对提高精神分裂症患者服药依从性,改善精神分裂症患者的社会功能,提高家庭照料者心理健康水平.
目的 探討以傢庭為中心的榦預對精神分裂癥患者社會功能與照料者心理健康的影響.方法 將臨床"痊愈"齣院的精神分裂癥患者112例隨機分為研究組(56例)和對照組(56例).對照組給予抗精神藥物維持治療和一般的心理教育;研究組在此基礎上,實施以傢庭為中心的護理榦預.齣院後每3箇月深入傢庭進行傢訪或給予針對性具體指導,觀察時間為1年.採用癥狀自評量錶(SCL-90)和社會功能缺陷篩查量錶(SDSS)、服藥依從性量錶,分彆對傢庭照料者和患者于人組時、1年後進行評定.結果 1年後,傢庭照料者的SCL-90各因子分除偏執、精神病性兩因子外其餘各因子研究組均低于對照組,有顯著性差異(P＜0.05或P＜0.01);研究組服藥依從性高于對照組,有顯著性差異(P＜0.01);研究組患者SDSS各因子分低于對照組,有顯著性差異(P＜0.05或P＜0.01).結論 以傢庭為中心的護理榦預對提高精神分裂癥患者服藥依從性,改善精神分裂癥患者的社會功能,提高傢庭照料者心理健康水平.
목적 탐토이가정위중심적간예대정신분렬증환자사회공능여조료자심리건강적영향.방법 장림상"전유"출원적정신분렬증환자112례수궤분위연구조(56례)화대조조(56례).대조조급여항정신약물유지치료화일반적심리교육;연구조재차기출상,실시이가정위중심적호리간예.출원후매3개월심입가정진행가방혹급여침대성구체지도,관찰시간위1년.채용증상자평량표(SCL-90)화사회공능결함사사량표(SDSS)、복약의종성량표,분별대가정조료자화환자우인조시、1년후진행평정.결과 1년후,가정조료자적SCL-90각인자분제편집、정신병성량인자외기여각인자연구조균저우대조조,유현저성차이(P＜0.05혹P＜0.01);연구조복약의종성고우대조조,유현저성차이(P＜0.01);연구조환자SDSS각인자분저우대조조,유현저성차이(P＜0.05혹P＜0.01).결론 이가정위중심적호리간예대제고정신분렬증환자복약의종성,개선정신분렬증환자적사회공능,제고가정조료자심리건강수평.
Objective To investigate the effects of family centered intervention on schizophrenia patient's social function and mental health of their caregivers.Methods The patients with schizophrenia who had been cured and discharged were randomly divided into study group (56 cases) and control group (56cases).The patients in control group were treated with drugs and routiine psychological education and those in study group received additional family centered nursing intervention.After discharged, every3 months home visit and customized guidance were done, observation time was 1 year.Caregivers and patients were sccessed by Symptom Check List (SCL-90), Social Dysfunction Screening Scale (SDSS) and Medicine Compliance Check List when divided groups and after 1 year.Results After 1 year,each factor score that caregivers got in study group was lower than that of control group except the fsctors of paranoid ideation and psychoticism.There was significant difference between two groups(P<0.05或P<0.01).Medicine compliance in study group was higher than that of control group(P<0.01).Each factors of SDSS in study group was lower than that of control group(P<0.05或P<0.01).clusions Family centered nursing intervention can increase medicine compliance of schizophrenia patients, improve the pstients'social function, raise the level of caregivers'mental health.
