CAJ | 학술논문

目的探讨综合护理干预对康复期精神分裂症患者病耻感及社会功能的作用.方法选取60例康复期精神分裂症患者按随机数字表法随机分为干预组和对照组各30例,对照组予精神科常规护理,干预组予12周的综合护理干预,两组在治疗前后分别予病耻感评估量表及护士用住院病人观察量表(NOSIE)评定,并比较两组结果.结果干预前两组患者病耻感得分及NOSIE量表各因子评分比较差异均无统计学意义(P＞0.05)；经过12周的综合护理干预,干预组病耻感得分(25.52±10.33)分,NOSIE量表中社会功能(21.85±4.46)分、社会兴趣(11.02±3.06)分、个人整洁(15.35±2.29)分、抑郁(3.03±1.44)分,与干预前[(38.10±15.50),(18.46 ±5.65),(7.78±3.14),(12.15±3.30),(3.76±1.37)分]及对照组[(32.26±12.15),(18.89±3.36),(9.34±1.98),(11.57±3.02),(4.20±1.53)分]比较差异均有统计学意义(P＜0.05)；对照组病耻感得分与干预前比较差异无统计学意义(P＞0.05).结论综合护理干预能降低精神分裂症患者的病耻感,改善患者的社会功能,提高其生活质量.
목적 탐토종합호리간예대강복기정신분렬증환자병치감급사회공능적작용.방법 선취60례강복기정신분렬증환자안수궤수자표법수궤분위간예조화대조조각30례,대조조여정신과상규호리,간예조여12주적종합호리간예,량조재치료전후분별여병치감평고량표급호사용주원병인관찰량표(NOSIE)평정,병비교량조결과.결과 간예전량조환자병치감득분급NOSIE량표각인자평분비교차이균무통계학의의(P＞0.05)；경과12주적종합호리간예,간예조병치감득분(25.52±10.33)분,NOSIE량표중사회공능(21.85±4.46)분、사회흥취(11.02±3.06)분、개인정길(15.35±2.29)분、억욱(3.03±1.44)분,여간예전[(38.10±15.50),(18.46 ±5.65),(7.78±3.14),(12.15±3.30),(3.76±1.37)분]급대조조[(32.26±12.15),(18.89±3.36),(9.34±1.98),(11.57±3.02),(4.20±1.53)분]비교차이균유통계학의의(P＜0.05)；대조조병치감득분여간예전비교차이무통계학의의(P＞0.05).결론 종합호리간예능강저정신분렬증환자적병치감,개선환자적사회공능,제고기생활질량.
Objective To explore the effect of comprehensive nursing intervention on the stigma and social function of convalescence patients with schizophrenia.Methods 60 patients with schizophrenia were randomly divided into theinerventiongroup and the control group,each with 30 cases.The control group received conventional psychiatric nursing while the intervention group received comprehensive nursing intervention for 12 weeks.Stigma scale and NOSIE were used for evaluation and comparison between two groups before and after treatment.Results There was no statistically significant difference in stigma scale and NOSIE between two groups before intervention (P ＞ 0.05).The score of stigma scale and social function,social interest,personal cleanliness,depression in NOSIE was respectively (25.52 ± 10.33),(21.85 ± 4.46),(11.02 ± 3.06),(15.35 ± 2.29) and (3.03 ± 1.44) in the intervention group after 12 weeks of comprehensive nursing intervention,(38.10 ± 15.50),(18.46 ± 5.65),(7.78 ± 3.14),(12.15 ± 3.30)and (3.76 ± 1.37) in the control group,and (32.26 ± 12.15),(18.89 ±3.36),(9.34 ± 1.98),(11.57 ± 3.02) and (4.20 ± 1.53) before intervention,and the differences were statistically significant (P ＜ 0.05).Score of stigma in the control group had no statistically significant differences before and after intervention (P ＞ 0.05).Conclusions Comprehensive nursingintervention can reduce the stigma of schizophrenia patients,and improve their social function as well as their quality of life.