CAJ | 학술논문

目的：探讨人性化护理管理措施对精神分裂症患者康复的影响。方法选择2012年2月~2013年6月在重庆三峡中心医院平湖分院治疗的精神分裂症患者120例,随机分为观察组和对照组,每组各60例。观察组给予人性化护理管理措施,对照组给予常规护理措施管理。分别于入院时、入院后2、8周采用简明精神疾病评价量表(BPRS)、社会能力缺陷调查量表(SDSS)和症状自评量表(SCL-90)进行效果评定并比较。结果①两组患者在入院时及入院后2周时BPRS量表总分及各分项评分比较,差异均无统计学意义(均P>0.05)；入院后8周时,观察组焦虑抑郁、缺乏活力、思维障碍、敌对猜疑、总分均低于对照组,差异有高度统计学意义(t =6.88、6.97、8.27、7.39,均P<0.01)。②两组入院时、入院后2周SDSS量表评分差异无统计学意义(P>0.05)；观察组入院后后8周SDSS量表评分低于对照组,差异有统计学意义(P<0.05)。③入院后8周观察组SCL-90量表中躯体化、强迫、人际关系、抑郁、焦虑及偏执因子评分均低于对照组,差异均有统计学意义(P<0.05)；余项目评分差异无统计学意义(P>0.05)。结论人性化护理管理可改善精神分裂症患者病情,值得在临床推广应用。
목적：탐토인성화호리관리조시대정신분렬증환자강복적영향。방법선택2012년2월~2013년6월재중경삼협중심의원평호분원치료적정신분렬증환자120례,수궤분위관찰조화대조조,매조각60례。관찰조급여인성화호리관리조시,대조조급여상규호리조시관리。분별우입원시、입원후2、8주채용간명정신질병평개량표(BPRS)、사회능력결함조사량표(SDSS)화증상자평량표(SCL-90)진행효과평정병비교。결과①량조환자재입원시급입원후2주시BPRS량표총분급각분항평분비교,차이균무통계학의의(균P>0.05)；입원후8주시,관찰조초필억욱、결핍활력、사유장애、활대시의、총분균저우대조조,차이유고도통계학의의(t =6.88、6.97、8.27、7.39,균P<0.01)。②량조입원시、입원후2주SDSS량표평분차이무통계학의의(P>0.05)；관찰조입원후후8주SDSS량표평분저우대조조,차이유통계학의의(P<0.05)。③입원후8주관찰조SCL-90량표중구체화、강박、인제관계、억욱、초필급편집인자평분균저우대조조,차이균유통계학의의(P<0.05)；여항목평분차이무통계학의의(P>0.05)。결론인성화호리관리가개선정신분렬증환자병정,치득재림상추엄응용。
Objective To investigate the influence of humanized nursing management measures in rehabilitation of pa-tients with schizophrenia. Methods 120 cases of schizophrenia from February 2012 to June 2013 in Pinghu Branch Hospital of Chongqing Three Gorges Central Hospital were selected and divided into observation group and control group randomly with 60 cases in each group. The observation group was treated with humanized nursing management measures, the control group was treated with conventional nursing measures. The curative effect between the two groups when hospital admission, 2, 8 weeks after hospital were assessed and compared by BPRS, SDSS, SCL-90 scales. Re-sults①The differences of BPRS total scores and each component scores between the two groups when hospital admis-sion and 2 weeks after hospital were not statistically significant (P> 0.05). The scores of anxiety-depression, lack of vitality, disturbance of thought, hostile suspicion, total points in observation group 8 weeks after hospital were all lower than those in control group, the differences were statistically significant (t = 6.88, 6.97, 8.27, 7.39, P< 0.01). ②The differences of SDSS scale scores between the two groups when hospital admission and 2 weeks after hospital were not statistically significant (P > 0.05). The SDSS scale scores in observation group 8 weeks after hospital were all lower than those in control group, the differences were statistically significant (P<0.05).③The SCL-90 scores of somatization, compulsivity, interpersonal relationship, depression, anxiety, paranoid factor in observation group 8 weeks after hospital were all lower than those in control group, the differences were statistically significant (P< 0.05). Conclusion Human-ized nursing management measures can improve the illness state of schizophrenia, it is worthy of clinical application.