CAJ | 학술논문

目的：探讨综合护理干预对精神分裂症伴代谢综合征(MS)患者的影响。方法74例住院精神分裂症伴MS患者随机分为观察组和对照组，对照组37例给予常规护理，观察组37例在常规护理基础上给予综合护理干预。观察并比较两组干预前后MS指标及遵医行为。结果干预6个月后，观察组腰围、收缩压(SBP)、舒张压(DBP)、空腹血糖(FBG)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)等指标均较干预前明显改善(P<0.01和P<0.05)，且与对照组比较差异有统计学意义(P<0.01和P<0.05)。在干预后观察组各项遵医行为均明显优于对照组(P<0.01和P<0.05)。结论综合护理干预能有效改善精神分裂症伴MS患者的临床症状，提高其遵医行为和健康水平。
목적：탐토종합호리간예대정신분렬증반대사종합정(MS)환자적영향。방법74례주원정신분렬증반MS환자수궤분위관찰조화대조조，대조조37례급여상규호리，관찰조37례재상규호리기출상급여종합호리간예。관찰병비교량조간예전후MS지표급준의행위。결과간예6개월후，관찰조요위、수축압(SBP)、서장압(DBP)、공복혈당(FBG)、감유삼지(TG)、고밀도지단백담고순(HDL-C)등지표균교간예전명현개선(P<0.01화P<0.05)，차여대조조비교차이유통계학의의(P<0.01화P<0.05)。재간예후관찰조각항준의행위균명현우우대조조(P<0.01화P<0.05)。결론종합호리간예능유효개선정신분렬증반MS환자적림상증상，제고기준의행위화건강수평。
Objective To investigate influence of comprehensive nursing intervention on patients of schizophrenia complicated with metabolic syndrome (MS). Methods A total of 74 hospitalized patients of schizophrenia complicated with MS were randomly divided into observation group and control group. The control group with 37 cases received conventional nursing, and the observation group with 37 cases received comprehensive nursing intervention in addition to conventional nursing. MS indexes and compliance behaviors of the two groups were compared before and after intervention. Results After 6 months of intervention, the observation group had all improved indexes of waistline, systolic blood pressure (SBP), diastolic blood pressure (DBP), fasting blood glucose (FBG), triglyceride (TG), and high-density lipoprotein cholesterol (HDL-C) than those before intervention (P<0.01 and P<0.05). Compared with those in the control group, their difference had statistical significance (P<0.01 and P<0.05). The observation group had better compliance behaviors than the control group after intervention (P<0.01 and P<0.05). Conclusion Comprehensive nursing intervention can effectively improve the clinical symptoms in patients of schizophrenia complicated with MS, and enhance their compliance behaviors and health level.