CAJ | 학술논문

目的：探讨综合护理干预对住院精神分裂症患者生活质量的影响。方法：将100例精神分裂症患者随机分为两组，每组50例，两组患者均给予口服利培酮治疗，并予以精神科常规护理。研究组患者在此基础上联合综合护理干预，观察6个月。于干预前及干预第1个月、3个月、6个月末采用阳性与阴性症状量表、日常生活能力量表及自制服药依从性调查表对两组患者进行测评分析。结果：治疗1个月末起，两组患者阳性与阴性症状量表阳性症状因子分较治疗前有显著下降(P<0.05或0.01)，治疗3个月末起，阴性症状、一般精神病理因子分及日常生活能力量表总分较治疗前有显著下降(P<0.05或0.01)；同期两组患者间比较，研究组患者治疗1个月末起，阳性症状因子分较对照组下降更显著(P<0.05)，治疗3个月末起患者的阴性症状、一般精神病理因子分及日常生活能力量表总分较对照组下降更显著(P<0.05或0.01)。干预前两组患者服药依从性比较差异无显著性(P>0.05)；干预1个月末起研究组患者主动服药比率显著高于对照组(P<0.01)，干预1个月、6个月末拒绝服药比率显著低于对照组(P<0.01)，干预3个月末起研究组患者被动配合服药比率显著低于对照组(P<0.05或0.01)。结论：实施综合护理干预有助于住院精神分裂症患者提高生活质量，改善病情，促进患者早日康复。
목적：탐토종합호리간예대주원정신분렬증환자생활질량적영향。방법：장100례정신분렬증환자수궤분위량조，매조50례，량조환자균급여구복리배동치료，병여이정신과상규호리。연구조환자재차기출상연합종합호리간예，관찰6개월。우간예전급간예제1개월、3개월、6개월말채용양성여음성증상량표、일상생활능역량표급자제복약의종성조사표대량조환자진행측평분석。결과：치료1개월말기，량조환자양성여음성증상량표양성증상인자분교치료전유현저하강(P<0.05혹0.01)，치료3개월말기，음성증상、일반정신병리인자분급일상생활능역량표총분교치료전유현저하강(P<0.05혹0.01)；동기량조환자간비교，연구조환자치료1개월말기，양성증상인자분교대조조하강경현저(P<0.05)，치료3개월말기환자적음성증상、일반정신병리인자분급일상생활능역량표총분교대조조하강경현저(P<0.05혹0.01)。간예전량조환자복약의종성비교차이무현저성(P>0.05)；간예1개월말기연구조환자주동복약비솔현저고우대조조(P<0.01)，간예1개월、6개월말거절복약비솔현저저우대조조(P<0.01)，간예3개월말기연구조환자피동배합복약비솔현저저우대조조(P<0.05혹0.01)。결론：실시종합호리간예유조우주원정신분렬증환자제고생활질량，개선병정，촉진환자조일강복。
Objective: To explore influence of comprehensive nursing intervention ( CNI ) on quality of life of hospitalized schizophrenics. Methods:A total of 100 schizophrenics were randomly assigned to two groups, 50 cases in each group. Both groups took orally Risperidone and received psychiatric routine nursing, on that basis, research group was taking CNI for 6 months. Assess-ments were carried out with the positive and negative syndrome scale ( PANSS) , Activity of daily living scale ( ADL) and self-made drug compliance inventory (SDCI) before and 1, 3 and 6 months after the intervention. Results:Since the end of the 1st month, the positive symptom scores and negative symptom scores of PANSS of the two groups decreased more significantly compared with those be-fore the treatment (P<0. 05 or 0. 01). From the end of the 3rd month, and negative symptom scores, general psychopathology scores, and the total score of ADL of the two groups decreased more significantly compared with those before the treatment (P<0. 05 or 0. 01). Contemporaneous group comparisons showed that positive symptoms scores since the end of the 1st month (P<0. 05) and negative symptoms and general psychopathology scores as well as the total score of ADL since the 3rd month (P<0. 05 or 0. 01) of research group decreased more significantly than those of control group. There was no significant difference in drug compliance before the inter-vention (P>0. 05);ratio of active taking medicine was significantly higher since the end of the 1st month (P<0. 01), while ratio of refusing to taking medicine at the end of the 1st and 6th month (P<0. 01) and ratio of passive taking medicine since the 3rd were lower (P<0. 05 or 0. 01) in research group than those in control group. Conclusions: CNI conduces to the increase of quality of life, im-provement of patient's condition and early rehabilitation of hospitalized schizophrenics.