中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
31期
3730-3733
,共4页
精神分裂症%全程护理管理%社会功能%服药依从性%首发住院
精神分裂癥%全程護理管理%社會功能%服藥依從性%首髮住院
정신분렬증%전정호리관리%사회공능%복약의종성%수발주원
Schizophrenia%Throughout nursing management%Social function%Medication compliance%First attack
目的 探讨全程护理管理对首发住院精神分裂症患者社会功能及服药依从性的影响.方法 将196例首发住院的精神分裂症患者随机分为观察组和对照组各98例,观察组采用全程护理管理模式进行干预,对照组采用优化后的护理管理模式,分别在患者入院时、出院时和研究结束时,采用社会功能缺陷筛选量表(SDSS)、服药依从性调查问卷及满意度调查表比较两组护理效果.结果 入院时两组患者SDSS评分比较,差异无统计学意义(P＞0.05)；研究结束时观察组患者SDSS评分为(3.21±2.76)分,明显低于对照组的(4.23±2.19)分,差异有统计学意义(t=9.803,P＜0.05)；观察组患者服药完全依从率为70.53％,优于对照组的45.74％,差异有统计学意义(x2=5.31,P＜0.05)；观察组患者对护理方式、护理内容的满意度及整体满意度分别为(1.72±0.26),(1.83±0.21),(1.81±0.37)分,均优于对照组的(1.28±0.02),(1.29±0.13),(1.32±0.29)分,差异均有统计学意义(t分别为23.22,18.01,30.72;P ＜0.05).结论 全程护理管理能够促进首发住院精神分裂症患者社会功能恢复,提高患者服药依从性,巩固患者治疗效果,提高了患者及家属满意度.
目的 探討全程護理管理對首髮住院精神分裂癥患者社會功能及服藥依從性的影響.方法 將196例首髮住院的精神分裂癥患者隨機分為觀察組和對照組各98例,觀察組採用全程護理管理模式進行榦預,對照組採用優化後的護理管理模式,分彆在患者入院時、齣院時和研究結束時,採用社會功能缺陷篩選量錶(SDSS)、服藥依從性調查問捲及滿意度調查錶比較兩組護理效果.結果 入院時兩組患者SDSS評分比較,差異無統計學意義(P＞0.05)；研究結束時觀察組患者SDSS評分為(3.21±2.76)分,明顯低于對照組的(4.23±2.19)分,差異有統計學意義(t=9.803,P＜0.05)；觀察組患者服藥完全依從率為70.53％,優于對照組的45.74％,差異有統計學意義(x2=5.31,P＜0.05)；觀察組患者對護理方式、護理內容的滿意度及整體滿意度分彆為(1.72±0.26),(1.83±0.21),(1.81±0.37)分,均優于對照組的(1.28±0.02),(1.29±0.13),(1.32±0.29)分,差異均有統計學意義(t分彆為23.22,18.01,30.72;P ＜0.05).結論 全程護理管理能夠促進首髮住院精神分裂癥患者社會功能恢複,提高患者服藥依從性,鞏固患者治療效果,提高瞭患者及傢屬滿意度.
목적 탐토전정호리관리대수발주원정신분렬증환자사회공능급복약의종성적영향.방법 장196례수발주원적정신분렬증환자수궤분위관찰조화대조조각98례,관찰조채용전정호리관리모식진행간예,대조조채용우화후적호리관리모식,분별재환자입원시、출원시화연구결속시,채용사회공능결함사선량표(SDSS)、복약의종성조사문권급만의도조사표비교량조호리효과.결과 입원시량조환자SDSS평분비교,차이무통계학의의(P＞0.05)；연구결속시관찰조환자SDSS평분위(3.21±2.76)분,명현저우대조조적(4.23±2.19)분,차이유통계학의의(t=9.803,P＜0.05)；관찰조환자복약완전의종솔위70.53％,우우대조조적45.74％,차이유통계학의의(x2=5.31,P＜0.05)；관찰조환자대호리방식、호리내용적만의도급정체만의도분별위(1.72±0.26),(1.83±0.21),(1.81±0.37)분,균우우대조조적(1.28±0.02),(1.29±0.13),(1.32±0.29)분,차이균유통계학의의(t분별위23.22,18.01,30.72;P ＜0.05).결론 전정호리관리능구촉진수발주원정신분렬증환자사회공능회복,제고환자복약의종성,공고환자치료효과,제고료환자급가속만의도.
Objective To explore the effect of throughout nursing management on the patients with first schizophrenia in social function and medication compliance.Methods Totals of 196 hospitalized patients with major depressive disorder were randomly divided into observation group (n =98) and control group (n =98).Observation group were treated with full nursing management model intervention,while control group used the optimized nursing management model.Patients were investigated with Social Disability Screening Schedule (SDSS),medication compliance questionnaire and satisfaction survey,respectively,in admission,discharge and end of the study.Results No significant difference of SDSS score was found in the admission between observation group and control group (P ＞ 0.05).While observation group had significantly lower SDSS score than control group [(3.21 ±2.76) vs (4.23 ±2.19) ;t =9.803,P ＜0.05].Complete medication compliance of observation group was significantly higher than that of control group (70.53％ vs 45.74％ ; x2 =5.31,P ＜0.05).And patients' satisfaction and satisfaction on the nursing model,nursing contents respectively were higher than that of control group [(1.81 ±0.37) vs (1.32 ±0.29),(1.72 ±0.26) vs (1.28 ±0.02),(1.83 ±0.21) vs (1.29±0.13);t=23.22,18.01,30.72,respectively;P＜0.05].Condusions The throughout nursing management can promote the social function recovery of patients with schizophrenia,improve their medication compliance,consolidate outcomes and improve satisfaction of patients and family.
