CAJ | 학술논문

目的：探讨延伸性护理干预对社区精神分裂症患者康复中的临床应用效果。方法将84例精神分裂症患者按所居住的社区街道分组，北塘区40例为干预组，崇安区41例为对照组，两组患者住院期间均予以常规药物治疗和健康教育，出院时予出院指导，干预组出院后转入社区开放病区接受持续12个月的上门巡诊和电话访问，并建立延伸服务档案。采用社会功能缺陷筛选量表（ SDSS）评定两组患者社会功能情况，比较两组患者病情复发率和再住院情况。结果巡诊6个月末、12个月末，干预组患者服药依从性和药物管理形式好于对照组；干预组复发率分别为12．5％，27．5％，再住院率分别为7．5％，17．5％均明显低于对照组复发率（34．1％，58．5％）和再住院率（26．8％，48．8％），两组比较差异均有统计学意义（P＜0．05）。巡视12个月末，干预组SDSS总分及部分因子分低于对照组，差异有统计学意义（ P＜0．05）。结论延伸性护理干预能提高患者服药依从性，降低复发率和再住院率，改善社会功能和预防其衰退。
목적：탐토연신성호리간예대사구정신분렬증환자강복중적림상응용효과。방법장84례정신분렬증환자안소거주적사구가도분조，북당구40례위간예조，숭안구41례위대조조，량조환자주원기간균여이상규약물치료화건강교육，출원시여출원지도，간예조출원후전입사구개방병구접수지속12개월적상문순진화전화방문，병건립연신복무당안。채용사회공능결함사선량표（ SDSS）평정량조환자사회공능정황，비교량조환자병정복발솔화재주원정황。결과순진6개월말、12개월말，간예조환자복약의종성화약물관리형식호우대조조；간예조복발솔분별위12．5％，27．5％，재주원솔분별위7．5％，17．5％균명현저우대조조복발솔（34．1％，58．5％）화재주원솔（26．8％，48．8％），량조비교차이균유통계학의의（P＜0．05）。순시12개월말，간예조SDSS총분급부분인자분저우대조조，차이유통계학의의（ P＜0．05）。결론연신성호리간예능제고환자복약의종성，강저복발솔화재주원솔，개선사회공능화예방기쇠퇴。
Objective To explore the effect of extended care on the social function of schizophrenia patients in community rehabilitation.Methods Eighty four cases of schizophrenia were randomly divided into intervention group (Beitang District,40 cases) and control group( Chong’an District, 41cases).All patients received regular drug treatment and health education, and got guildance when discharged.Patients in the intervention group were recived follow-up intervention and telephone interview for 12 months, and bulided the extended care data.Social Disability Screening Schedule ( SDSS ) was used to evalue the social function of patients, and relapse rate and readmission rate were compared between the two groups.Results When discharged 6 months and 12 months, medication adherence and medication management form of the patients in the intervention group were better than that in the control group, the relapse rates in the intervention group were 12.5%, 27.5%, and readmission rates were 7.5%, 17.5%,which lower than 34.1%, 58.5%,26.8%, 48.8%in control group, and the difference was significant (P<0.05).Total scores and partial factors scores of SDSS were lower in the intervention group when dischared 12 months (P<0.05).Conclusions Extended nursing intervention could improve the social function of patients, and reduce relapse rate and readmission rate.