中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
19期
2355-2359
,共5页
综合心理行为干预%精神分裂症,首发%社会功能%生活质量%护理
綜閤心理行為榦預%精神分裂癥,首髮%社會功能%生活質量%護理
종합심리행위간예%정신분렬증,수발%사회공능%생활질량%호리
Comprehensive psychological intervention%First-episode schizophrenia%Social function%Quality of life%Nursing
目的：探讨综合行为干预对首发精神分裂症患者社会功能和生活质量康复效果的影响。方法将60例首发精神分裂症患者采用随机数字表法分为干预组和对照组，每组30例，对照组在常规应用利培酮治疗的同时给予精神科基础护理，干预组在此基础上实施综合行为干预。采用阳性和阴性症状量表（PANSS）、简明精神病评定量表（BPRS）评定疗效；社会功能缺陷筛查量表（SDSS）评定患者的社会功能；生活满意度量表（SWLS）评定患者的生活质量；大体评定量表（GAS）评定患者的大体病情。比较两组患者护理干预前、干预后6周末、12周末和18周末各量表评分。结果实施综合行为干预措施后干预组患者的PANSS 总分为（17．90±4．20）分，其中阳性症状为（8．67±2．77）分、阴性症状为（9．30±2．78）分，一般精神病理症状为（20．80±4．25）分，均低于对照组，差异有统计学意义（ t分别为7．74，5．32，5．90，3．72；P＜0．01）；SDSS评分为（13．80±3．99）分、SWLS评分为（15．43±4．01）分、BPRS ；评分（22．63±4．15）分也均低于对照组，GAS评分为（78．00±14．42）分高于对照组，差异均有统计学意义（t分别为4．85，7．41，5．77，6．83；P＜0．01）。结论综合行为干预措施有助于改善首发精神分裂症患者的精神症状，提高患者的社会功能和生活质量。
目的：探討綜閤行為榦預對首髮精神分裂癥患者社會功能和生活質量康複效果的影響。方法將60例首髮精神分裂癥患者採用隨機數字錶法分為榦預組和對照組，每組30例，對照組在常規應用利培酮治療的同時給予精神科基礎護理，榦預組在此基礎上實施綜閤行為榦預。採用暘性和陰性癥狀量錶（PANSS）、簡明精神病評定量錶（BPRS）評定療效；社會功能缺陷篩查量錶（SDSS）評定患者的社會功能；生活滿意度量錶（SWLS）評定患者的生活質量；大體評定量錶（GAS）評定患者的大體病情。比較兩組患者護理榦預前、榦預後6週末、12週末和18週末各量錶評分。結果實施綜閤行為榦預措施後榦預組患者的PANSS 總分為（17．90±4．20）分，其中暘性癥狀為（8．67±2．77）分、陰性癥狀為（9．30±2．78）分，一般精神病理癥狀為（20．80±4．25）分，均低于對照組，差異有統計學意義（ t分彆為7．74，5．32，5．90，3．72；P＜0．01）；SDSS評分為（13．80±3．99）分、SWLS評分為（15．43±4．01）分、BPRS ；評分（22．63±4．15）分也均低于對照組，GAS評分為（78．00±14．42）分高于對照組，差異均有統計學意義（t分彆為4．85，7．41，5．77，6．83；P＜0．01）。結論綜閤行為榦預措施有助于改善首髮精神分裂癥患者的精神癥狀，提高患者的社會功能和生活質量。
목적：탐토종합행위간예대수발정신분렬증환자사회공능화생활질량강복효과적영향。방법장60례수발정신분렬증환자채용수궤수자표법분위간예조화대조조，매조30례，대조조재상규응용리배동치료적동시급여정신과기출호리，간예조재차기출상실시종합행위간예。채용양성화음성증상량표（PANSS）、간명정신병평정량표（BPRS）평정료효；사회공능결함사사량표（SDSS）평정환자적사회공능；생활만의도량표（SWLS）평정환자적생활질량；대체평정량표（GAS）평정환자적대체병정。비교량조환자호리간예전、간예후6주말、12주말화18주말각량표평분。결과실시종합행위간예조시후간예조환자적PANSS 총분위（17．90±4．20）분，기중양성증상위（8．67±2．77）분、음성증상위（9．30±2．78）분，일반정신병리증상위（20．80±4．25）분，균저우대조조，차이유통계학의의（ t분별위7．74，5．32，5．90，3．72；P＜0．01）；SDSS평분위（13．80±3．99）분、SWLS평분위（15．43±4．01）분、BPRS ；평분（22．63±4．15）분야균저우대조조，GAS평분위（78．00±14．42）분고우대조조，차이균유통계학의의（t분별위4．85，7．41，5．77，6．83；P＜0．01）。결론종합행위간예조시유조우개선수발정신분렬증환자적정신증상，제고환자적사회공능화생활질량。
Objective To explore the effect of comprehensive nursing interventions on social functions and quality of life of first-episode schizophrenic patients .Methods Sixty patients with first-episode schizophrenia were randomly divided into intervention group and control group (30 patients for each group).All patients were treated with risperidone and basic psychiatric nursing care .Besides, the intervention group was given comprehensive nursing interventions additionally .Positive and Negative Symptoms Scale ( PANSS ) was used to evaluate the efficacy; Social Disability Screening Schedule ( SDSS ) was used to evaluate the social functions;Satisfaction with Life Scale ( SWLS) was used to evaluate the quality of life and Global Assessment Scale(GAS) was used to evaluate the general condition .PANSS, SDSS, SWLS and GAS were used to survey all the patients before and at the 6th, 12th and 18th week after the nursing interventions .Results At the end of 6th, 12th and 18th week after the nursing interventions, the total score of the PANSS was (17.90 ±4.20), including positive symptoms score of (8.67 ±2.77) and negative symptoms score of (9.30 ±2.78).The general mental state score was (20.80 ±4.25).The differences between groups were significant (t=7.74, 5.32, 5.90, 3.72, respectively;P<0.01).The scores of SDSS, SWLS, BPRS and GAS for the intervention group were (13.80 ±3.99),(15.43 ±4.01),(22.63 ±4.15) and (78.00 ±14.42), which were significantly lower than those in the control group (t=4.85, 7.41, 5.77, 6.83, respectively;P<0.01).Conclusions Comprehensive nursing interventions can not only help patients improve psychiatric symptoms , but also improve the social functions and the quality of life of the patients with first-episode schizophrenia .
