CAJ | 학술논문

目的：探讨家庭护理干预对康复期精神病患者的影响。方法将我院收治的60例精神病患者依据干预方式不同将其中行家庭护理干预的32例标记为观察组，另28例未行家庭护理干预标记为对照组，采用世界卫生组织社会功能评定量表(DAS/WHO)、遵医嘱行为调查表对比两组患者的个人生活能力、家庭职能、工作职能、社会能力的评分情况及记录遵医嘱依从性（服药依从性、复诊依从性）。结果观察组患者实施家庭护理干预的服药依从性好与差分别为24(75%)与8(25%)，复诊依从性好与差分别为23(71.88%)与9(28.12%)；对照组患者实施家庭护理干预的服药依从性好与差分别为14(50%)与14(50%)，复诊依从性好与差分别为13(46.43%)与15(53.57%)，观察组均明显好于对照组（P＜0.05）。且经6个月家庭干预护理后，在DAS/WHO各因子中，观察组在个人生活能力、家庭职能、工作职能、社会能力方面分别为（7.94±2.28）、（9.82±2.65）、（5.02±1.69）、（5.14±1.73）；对照组患者分别为（6.81±2.01）、（11.23±2.71）、（6.13±1.86）、（6.13±1.79），观察组DAS/WHO各因子分明显少于对照组（P＜0.05）。结论家庭护理干预能有效改善患者的遵医嘱依从性、促进患者社会生活能力的恢复，值得临床推广。
목적：탐토가정호리간예대강복기정신병환자적영향。방법장아원수치적60례정신병환자의거간예방식불동장기중행가정호리간예적32례표기위관찰조，령28례미행가정호리간예표기위대조조，채용세계위생조직사회공능평정량표(DAS/WHO)、준의촉행위조사표대비량조환자적개인생활능력、가정직능、공작직능、사회능력적평분정황급기록준의촉의종성（복약의종성、복진의종성）。결과관찰조환자실시가정호리간예적복약의종성호여차분별위24(75%)여8(25%)，복진의종성호여차분별위23(71.88%)여9(28.12%)；대조조환자실시가정호리간예적복약의종성호여차분별위14(50%)여14(50%)，복진의종성호여차분별위13(46.43%)여15(53.57%)，관찰조균명현호우대조조（P＜0.05）。차경6개월가정간예호리후，재DAS/WHO각인자중，관찰조재개인생활능력、가정직능、공작직능、사회능력방면분별위（7.94±2.28）、（9.82±2.65）、（5.02±1.69）、（5.14±1.73）；대조조환자분별위（6.81±2.01）、（11.23±2.71）、（6.13±1.86）、（6.13±1.79），관찰조DAS/WHO각인자분명현소우대조조（P＜0.05）。결론가정호리간예능유효개선환자적준의촉의종성、촉진환자사회생활능력적회복，치득림상추엄。
Objective To explore the effect of family nursing intervention on the rehabilitation of patients with psychosis. Methods The 60 patients admitted to our hospital psychiatric patients on the basis of intervention in different will including 32 cases of marker intervention family nursing as observation group, another 28 cases without family nursing intervention is marked as control group, the WHO social function rating scale (DAS/WHO), compliance questionnaire were compared between two groups. Personal life, family function, work function, social competence scores and records compliance (compliance, compliance). Results In the ob-servation group, the implementation of the family nursing intervention of good compliance and difference were 24(75%) and 8 (25%), good and poor compliance were 23 (71.88%) and 9 (28.12%); control the implementation of the family nursing intervention group patients with good compliance and difference were 14 (50%) and 14(50%), good and poor compliance were 13 (46.43%) and 15(53.57%), the observation group were significantly better than the control group (P<0.05).And after 6 months of family nursing intervention, the factor DAS/WHO, the observation group in personal life, family function, social function, work ability were(7.94±2.28),(9.82±2.65), (5.02± 1.69), (5.14 ±1.73); patients in control group respectively (6.81 ±2.01), (11.23 ±2.71), (6.13 ±1.86), (6.13 ±1.79),observe the factor group DAS/WHO were significantly less than that of the control group (P<0.05). Conclusion Family nursing intervention can effec-tively improve patient compliance, promote the social life ability of patients with recovery, is worth the clinical promotion.