CAJ | 학술논문

目的：制定控制精神分裂症患者用药后体重增加的集束干预策略，并分析其应用效果。方法：选择我院88例首发精神分裂症患者作为研究对象。将2012年12月~2013年7月的46例患者分为对照组，实施常规体重控制护理；将2013年8月~2014年3月的42例患者分为实验组，实施我科制定的体重控制集束干预。比较两组护士工作依从性、患者体重指数控制状况。结果：实验组护士运动、饮食、作息护理措施依从性高于对照组（P <0.05）；实验组第4、8周体重指数平均值低于对照组（ P <0.05）。结论：集束干预策略可提高精神科护士工作依从性，保证各项护理措施及时得到实施，有效控制患者用药后体重增加。
목적：제정공제정신분렬증환자용약후체중증가적집속간예책략，병분석기응용효과。방법：선택아원88례수발정신분렬증환자작위연구대상。장2012년12월~2013년7월적46례환자분위대조조，실시상규체중공제호리；장2013년8월~2014년3월적42례환자분위실험조，실시아과제정적체중공제집속간예。비교량조호사공작의종성、환자체중지수공제상황。결과：실험조호사운동、음식、작식호리조시의종성고우대조조（P <0.05）；실험조제4、8주체중지수평균치저우대조조（ P <0.05）。결론：집속간예책략가제고정신과호사공작의종성，보증각항호리조시급시득도실시，유효공제환자용약후체중증가。
Objective:To develop the bundle intervention strategies to control weight gain of patients with schizophrenia after medication and analyze its application effect. Methods:88 patients with first - episode schizophrenia in our hospital were selected as the object of study. Of them 46 patients(from December 2012 to July 2013)were taken as the control group and the other 42 patients(from August 2013 to March 2014)were taken as the experimental group. The routine control measures of body weight were taken in the control group;the devel-oped bundle intervention was implemented in the experimental group. The compliance of nurses and the BMI of the patients were compared between the two groups. Results:The compliance of nurses was better in the experimental group than the control group(P < 0. 05);the av-erage value of BMI in the 4th and 8th week after implementation of the control measures was lower in the experimental group than the con-trol group(P < 0. 05). Conclusion:The bundle intervention measures can improve the compliance of nurses and ensure the timely imple-mentation of nursing measures so as to effectively control weight gain of patients with schizophrenia after medication.