中国医药
中國醫藥
중국의약
China Medicine
2015年
9期
1398-1400
,共3页
游秋萍%郑伟%李雅文%白静%侯璟%冯松
遊鞦萍%鄭偉%李雅文%白靜%侯璟%馮鬆
유추평%정위%리아문%백정%후경%풍송
精神分裂症%系统康复护理训练%社会适应功能
精神分裂癥%繫統康複護理訓練%社會適應功能
정신분렬증%계통강복호리훈련%사회괄응공능
Schizophrenia%Systematic rehabilitation nursing training%Social-adaptive function
目的 探讨系统康复护理训练对稳定期精神分裂症患者社会适应功能的影响.方法 纳入2013年6-8月北京市海淀区精神卫生防治院稳定期精神分裂症患者89例,采用随机数字表法分为对照组(42例)及康复组(47例).对照组给予常规药物治疗,康复组在常规药物治疗基础上给予系统康复护理训练.于干预6个月后应用护士用简明精神病量表(N-BPRS)和社会适应功能评估量表(SAFE)评估康复护理训练效果.结果 6个月末N-BPRS中焦虑忧郁、缺乏活力、思维障碍、激活性、敌对猜疑评分及总分康复组均明显低于对照组,差异有统计学意义[(7.7±2.4)分比(11.5±3.1)分、(7.0±2.8)分比(10.2±2.7)分、(7.0±3.4)分比(9.6±3.8)分、(4.6±1.7)分比(7.5±2.9)分、(5.0±2.2)分比(6.8±2.8)分、(31.4±9.8)分比(45.6±13.3)分](P＜0.01);SAFE中社交技能、高级生活技能、沟通技能和基本生活技能评分及总分康复组亦明显低于对照组,差异有统计学意义[(4.1±3.8)分比(7.9±3.0)分、(3.2±2.8)分比(4.4±2.0)分、(1.6±1.5)分比(3.9±1.6)分、(1.2±1.9)分比(2.7±1.6)分、(10.1±8.2)分比(18.9±7.0)分](P＜0.05).结论 系统康复护理训练可改善患者社会适应功能,有利于促进患者早日回归社会.
目的 探討繫統康複護理訓練對穩定期精神分裂癥患者社會適應功能的影響.方法 納入2013年6-8月北京市海澱區精神衛生防治院穩定期精神分裂癥患者89例,採用隨機數字錶法分為對照組(42例)及康複組(47例).對照組給予常規藥物治療,康複組在常規藥物治療基礎上給予繫統康複護理訓練.于榦預6箇月後應用護士用簡明精神病量錶(N-BPRS)和社會適應功能評估量錶(SAFE)評估康複護理訓練效果.結果 6箇月末N-BPRS中焦慮憂鬱、缺乏活力、思維障礙、激活性、敵對猜疑評分及總分康複組均明顯低于對照組,差異有統計學意義[(7.7±2.4)分比(11.5±3.1)分、(7.0±2.8)分比(10.2±2.7)分、(7.0±3.4)分比(9.6±3.8)分、(4.6±1.7)分比(7.5±2.9)分、(5.0±2.2)分比(6.8±2.8)分、(31.4±9.8)分比(45.6±13.3)分](P＜0.01);SAFE中社交技能、高級生活技能、溝通技能和基本生活技能評分及總分康複組亦明顯低于對照組,差異有統計學意義[(4.1±3.8)分比(7.9±3.0)分、(3.2±2.8)分比(4.4±2.0)分、(1.6±1.5)分比(3.9±1.6)分、(1.2±1.9)分比(2.7±1.6)分、(10.1±8.2)分比(18.9±7.0)分](P＜0.05).結論 繫統康複護理訓練可改善患者社會適應功能,有利于促進患者早日迴歸社會.
목적 탐토계통강복호리훈련대은정기정신분렬증환자사회괄응공능적영향.방법 납입2013년6-8월북경시해정구정신위생방치원은정기정신분렬증환자89례,채용수궤수자표법분위대조조(42례)급강복조(47례).대조조급여상규약물치료,강복조재상규약물치료기출상급여계통강복호리훈련.우간예6개월후응용호사용간명정신병량표(N-BPRS)화사회괄응공능평고량표(SAFE)평고강복호리훈련효과.결과 6개월말N-BPRS중초필우욱、결핍활력、사유장애、격활성、활대시의평분급총분강복조균명현저우대조조,차이유통계학의의[(7.7±2.4)분비(11.5±3.1)분、(7.0±2.8)분비(10.2±2.7)분、(7.0±3.4)분비(9.6±3.8)분、(4.6±1.7)분비(7.5±2.9)분、(5.0±2.2)분비(6.8±2.8)분、(31.4±9.8)분비(45.6±13.3)분](P＜0.01);SAFE중사교기능、고급생활기능、구통기능화기본생활기능평분급총분강복조역명현저우대조조,차이유통계학의의[(4.1±3.8)분비(7.9±3.0)분、(3.2±2.8)분비(4.4±2.0)분、(1.6±1.5)분비(3.9±1.6)분、(1.2±1.9)분비(2.7±1.6)분、(10.1±8.2)분비(18.9±7.0)분](P＜0.05).결론 계통강복호리훈련가개선환자사회괄응공능,유리우촉진환자조일회귀사회.
Objective To investigate the influence of rehabilitation nursing training on social-adaption function of stable schizophrenia patients.Methods Totally 89 patients with schizophrenia in stable phase from June to August 2013 were randomly divided into control group (n =42) receiving conventional drug therapy and observation group (n =47) receiving systematic rehabilitation nursing training based on conventional drug therapy.After 6 months of training,the nurse brief psychiatric rating scale (N-BPRS) and social-adaptive functioning evaluation scale (SAFE) were used to evaluate the social-adaptive function.Results For the N-BPRS,the scores of anxiety/depression,poor capacity,thought disturbance,excitement,hostility and total score in observation group were significantly lower than those in control group after 6 months [(7.7 ± 2.4) scores vs (11.5 ± 3.1) scores,(7.0 ±2.8) scores vs (10.2 ±2.7) scores,(7.0 ±3.4) scores vs (9.6 ±3.8) scores,(4.6 ± 1.7) scores vs (7.5 ±2.9) scores,(5.0 ±2.2) scores vs (6.8 ±2.8) scores,(31.4±9.8) scores vs (45.6 ± 13.3) scores] (P ＜0.01).For the SAFE,the scores of social skill,senior life skills,communication skill,basic life skills and total score in observation group were also significantly lower than those in control group after 6 months [(4.1 ±3.8) scores vs (7.9 ±3.0) scores,(3.2 ±2.8) scores vs (4.4±2.0) scores,(1.6 ± 1.5) scores vs (3.9 ± 1.6) scores,(1.2 ± 1.9) scores vs (2.7 ± 1.6) scores,(10.1 ±8.2) scores vs (18.9 ± 7.0) scores] (P ＜ 0.05).Conclusion The systematic rehabilitation nursing training can improve the social-adaptive function in patients with schizophrenia and help the patients return to society early.
