医院―社区一体化防治护理对社区重性精神病患者康复影响.docVIP

医院―社区一体化防治护理对社区重性精神病患者康复影响 　　[摘要]目的 探讨医院-社区一体化防治护理对社区重性精神病患者康复的影响。方法 将2015年3月～2016年3月曾在本院“治愈”出院的120例重性精神病患者随机分成研究组、对照组，各60例。对照组给予精神科药物治疗，研究组在对照组治疗方法上同时接受1年的医院-社区一体化防治护理，采用PANSS-EC、调查问卷等进行评估、比较。结果 干预1年后，研究组的PANSS-EC评分为（6.3±1.71）分，明显低于对照组的（2.1±1.3）分，研究组的监护率、规律服药率、社会参与率均明显高于对照组（P0.01），复发率为23.33%，显著低于对照组的100.00%（P0.01）。研究组的肇事肇祸率为6.66%，显著低于对照组的25.00%（P0.01）。结论 医院-社区一体化防治护理可缓解精神症状，提高患者的规律服药率、社会参与率、家属的监护率，减少疾病复发、肇事肇祸的发生，对减少社会危害、改善社会功能具有显著意义。 　　[关键词]社区；重性精神病；医院-社区一体化防治；康复护理 　　[中图分类号] R473.2 [文献标识码] A [文章编号] 1674-4721（2017）10（a）-0064-04 　　[Abstract]Objective To explore the influence of hospital-community integrated prevention，treatment，and nursing on rehabilitation of community-based patients with severe psychoses.Methods From March 2015 to March 2016，120 patients with severe psychosis having been “cured” in our hospital and discharged from our hospital were divided into research group （n=60） and control group （n=60） in random.In the control group，psychotropic drugs were used，while in the research group，on the basis of the control group，thehospital-community integrated prevention，treatment，and nursing for 1 year was added.PANSS-EC score and questionnaire were used to evaluate and compare.Results After 1 year intervention，the score of PANSS-EC was （6.3±1.71） points in the research group，and it was much lower than that in the control group （12.1±1.3） points.In the research group，monitoring rate，rate of regular taking medicine，andsocial participation rate were all much higher than those in control group （P0.01）.In the research group，the recurrence rate was 23.33%，and it was greatly lower than that in the control group （100.00%） （P0.01）.In the research group，the rate of making troubles was 6.66%，and it was significantly lower than that in the control group accounting （25.00） （P0.01）.Conclusion The hospital-community integrated prevention，treatment，and nursing can relieve mental symptoms，improve the regular taking medicine rate，socialparticipancy rate，as well as family custo