齐鲁护理杂志
齊魯護理雜誌
제로호리잡지
JOURNAL OF QILU NURSING
2014年
18期
16-18
,共3页
“三无”精神疾病患者%作业疗法%代币疗法%康复训练
“三無”精神疾病患者%作業療法%代幣療法%康複訓練
“삼무”정신질병환자%작업요법%대폐요법%강복훈련
Vagrant patients with mental disease%Occupational therapy%Token therapy%Rehabilitation training
“三无”精神疾病患者；作业疗法；代币疗法；康复训练中的应用效果。方法：将41例“三无”精神疾病患者随机分为观察组21例和对照组20例，观察组实施作业疗法联合代币疗法相结合的康复训练模式，对照组实施传统的精神科护理管理模式。采用护士用住院患者观察量表（NOSIE）和住院精神患者康复疗效评定量表（IPROS）对两组患者干预效果进行评定。结果：干预6、12个月后观察组NOSIE总积极因素评分明显高于对照组干预后，总消极因素评分明显低于对照组干预后（P〈0.05，P〈0.01）；干预后观察组IPROS总分与对照组比较差异有统计学意义（P〈0.05，P〈0.01）。结论：作业疗法和代币疗法相结合的康复训练模式能提高患者住院生活质量，对“三无”精神疾病患者的全面康复起到积极作用。
“三無”精神疾病患者；作業療法；代幣療法；康複訓練中的應用效果。方法：將41例“三無”精神疾病患者隨機分為觀察組21例和對照組20例，觀察組實施作業療法聯閤代幣療法相結閤的康複訓練模式，對照組實施傳統的精神科護理管理模式。採用護士用住院患者觀察量錶（NOSIE）和住院精神患者康複療效評定量錶（IPROS）對兩組患者榦預效果進行評定。結果：榦預6、12箇月後觀察組NOSIE總積極因素評分明顯高于對照組榦預後，總消極因素評分明顯低于對照組榦預後（P〈0.05，P〈0.01）；榦預後觀察組IPROS總分與對照組比較差異有統計學意義（P〈0.05，P〈0.01）。結論：作業療法和代幣療法相結閤的康複訓練模式能提高患者住院生活質量，對“三無”精神疾病患者的全麵康複起到積極作用。
“삼무”정신질병환자；작업요법；대폐요법；강복훈련중적응용효과。방법：장41례“삼무”정신질병환자수궤분위관찰조21례화대조조20례，관찰조실시작업요법연합대폐요법상결합적강복훈련모식，대조조실시전통적정신과호리관리모식。채용호사용주원환자관찰량표（NOSIE）화주원정신환자강복료효평정량표（IPROS）대량조환자간예효과진행평정。결과：간예6、12개월후관찰조NOSIE총적겁인소평분명현고우대조조간예후，총소겁인소평분명현저우대조조간예후（P〈0.05，P〈0.01）；간예후관찰조IPROS총분여대조조비교차이유통계학의의（P〈0.05，P〈0.01）。결론：작업요법화대폐요법상결합적강복훈련모식능제고환자주원생활질량，대“삼무”정신질병환자적전면강복기도적겁작용。
Objective:To investigate the effect of occupational therapy combined with token therapy in rehabilitation training of the va-grant patients with mental disease. Methods:41 vagrant patients with mental disease were randomly divided into the observation group( n=21)and the control group(n=20). The occupational therapy combined with token therapy was adopted in the patientˊs rehabilitation train-ing in the observation group and the traditional psychiatric nursing care and management mode was implemented in the control group. NOS-IE and IPROS were used to evaluate the intervention effect in the two groups. Results:The total scores of positive factors of NOSIE were significantly higher and the total scores of negative factors were significantly lower in the observation group than the control group after in-tervention for 6 and 12 months(P〈0. 05,P〈0. 01);there was statistically significant difference in the comparison of the total score of IPROS between the two groups(P〈0. 05,P〈0. 01). Conclusion:The occupational therapy combined with token therapy can significantly improve the quality of life of the vagrant patients with mental disease during hospitalization and it palys an active role in the rehabilition of the patients.
