CAJ | 학술논문

目的探讨以家庭为中心的护理干预对精神分裂症患者家庭功能和疾病家庭负担的影响.方法将108例病程＜5年的精神分裂症患者随机分为研究组(n=53)和对照组(n=55),两组均予抗精神病药物治疗和一般健康教育,研究组在此基础上合并以家庭为中心的护理干预,随访时间至患者出院后1年.采用家庭功能量表(FAD)、疾病家庭负担量表(FBS)和简明精神病评定量表(BPRS)于入组时和出院后1年末评定两组患者家庭状况和精神症状.结果入组时两组患者BPRS、FAD、FBS评分比较均无统计学意义(P＞0.05)；出院1年后,研究组BPRS评分为(24.60±7.87)、FAD总的功能评分为(26.8±3.7)及FBS总分为(20.60±9.91),均低于对照组[(28.91±8.72),(30.1±3.4),(30.76±12.27)分],差异均有统计学意义(t值分别为2.61,4.67,4.57；P＜0.05),研究组FAD各因子分及FBS量表家庭经济负担、家庭日常活动、家庭娱乐活动、家庭成员心理健康情况4个因子分均低于对照组,差异有统计学意义(P＜0.05).结论以家庭为中心的护理干预模式可提高精神分裂症患者的家庭功能,降低家庭疾病负担,改善疾病预后.
목적 탐토이가정위중심적호리간예대정신분렬증환자가정공능화질병가정부담적영향.방법 장108례병정＜5년적정신분렬증환자수궤분위연구조(n=53)화대조조(n=55),량조균여항정신병약물치료화일반건강교육,연구조재차기출상합병이가정위중심적호리간예,수방시간지환자출원후1년.채용가정공능량표(FAD)、질병가정부담량표(FBS)화간명정신병평정량표(BPRS)우입조시화출원후1년말평정량조환자가정상황화정신증상.결과 입조시량조환자BPRS、FAD、FBS평분비교균무통계학의의(P＞0.05)；출원1년후,연구조BPRS평분위(24.60±7.87)、FAD총적공능평분위(26.8±3.7)급FBS총분위(20.60±9.91),균저우대조조[(28.91±8.72),(30.1±3.4),(30.76±12.27)분],차이균유통계학의의(t치분별위2.61,4.67,4.57；P＜0.05),연구조FAD각인자분급FBS량표가정경제부담、가정일상활동、가정오악활동、가정성원심리건강정황4개인자분균저우대조조,차이유통계학의의(P＜0.05).결론 이가정위중심적호리간예모식가제고정신분렬증환자적가정공능,강저가정질병부담,개선질병예후.
Objective To explore the effect of family-centered nursing on family function and family burden of schizophrenic patients.Methods A total of 108 schizophrenic patients with the whole course less than 5 years were randomly divided into study group(n =53)and control group(n =55).The two groups received the routine antipsychotic drugs maintenance therapy and the general psychological education.In addition,the study group received the family-centered nursing intervention,and the total following-up course was 1 year.To evaluate the family situation and psychotic symptoms of patients,all the participants were assessed by using Family Assessment Device (FAD),Family Burden Scale of Disease (FBS) and Brief Psychiatric Rating Scale (BPRS) at entry and 1 year after discharged.Results There was no statistically significant difference between the two groups in scores of BPRS,FAD and FBS at baseline (P ＞ 0.05).After 1 year,the scores of BPRS (24.60 ± 7.87),total function of FAD (26.8 ± 3.7) and FBS (20.60 ± 9.91) in the study group were lower than those in the control group:BPRS (28.91 ± 8.72),FAD (30.1 ± 3.4) and FBS (30.76 ± 12.27),and the difference was statistically significant (t =2.61,4.67,4.57,respectively; P ＜0.05).The scores of each factor of FAD and four domains of FBS (such as family economic burden,family daily activities,familyent ertainment and mental health of family member) of the study group were lower than those of the control group (P ＜ 0.05).Conclusions The family-centered nursing model is helpful to improve family function,the prognosis of the disease and to decrease family burden of schizophrenia.