护士用观察量表在精神科临床的应用分析.docVIP

精品论文 参考文献 护士用观察量表在精神科临床的应用分析 吴雅萍 张倩 吴辉华 （华中科技大学同济医学院附属精神卫生中心 湖北 武汉 43001） 【摘要】 目的：使用护士用观察量表对住院精神分裂症患者进行纵向观察评定，了解住院患者病情变化特点。方法：对2014年2月至2014年12月华中科技大学同济医学院附属精神卫生中心收治的精神分裂症患者的病例资料进行回顾性分析，分男女组别对患者NOSIE评定数据进行统计学分析。结果：1.男女性患者入院时在社会能力因子分，迟缓因子分及总评分有显著差异（Plt;0.01）；2.男性患者第一周末社会兴趣因子分，激惹因子分，精神病表现因子分和总评估分出现显著变化（Plt;0.01）；第二周末，所有因子分均有显著改善（Plt;0.05）；3.女性患者第一周末在个人整洁因子分，激惹因子分，精神病表现因子分，抑郁因子分和总评估分出现显著变化（Plt;0.01）；第二周末，所有因子分均有显著改善（Plt;0.01）。结论：NOSIE能较为准确的反映治疗进展和病情的变化，可以作为完善护理评估和制定护理措施的参考依据。 【关键词】护士观察量表（NOSIE）；精神分裂症；护理 【中图分类号】R471 【文献标识码】B 【文章编号】2095-1752（2015）31-0276-02 Application of Nurses observation Scale for Inpatient Evaluation in psychiatric ward Wu Yaping, Zhang Qian, Wu Huihua (Affiliated Mental Health Center, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430015) 【ABSTRACT】 Objective To evaluate dynamically inpatients who were diagnosed Schizophrenia with NOSIE and to investigate illness characters of different phase during the period of treatment. Method A retrospective analysis was conducted in the inpatients registered in the psychiatric ward, at Wuhan mental health center, between February 2014 and December 2014, who were diagnosed Schizophrenia, the data of NOSIE were statistical analyzed. Result 1.There was significant difference in social competence, irritability, total scores between male and female patients on admission. （Plt;0.01）; 2. For male inpatients, in the first weekend, there was significant improvement in social interesting, irritability, psychosis and total scores; in the second weekend, all factors were improved significantly. 3. For female inpatients, in the first weekend, there was significant improvement in individual tidiness, irritability, psychosis, depressive and total scores; in the second weekend, all factors were improved significantly. Conclusion Application of NOSIE can response accurately the development of