多元化护理在精神分裂症患者自我管理中应用探讨.docVIP

多元化护理在精神分裂症患者自我管理中应用探讨 　　[摘要] 目的 探讨精神分裂症患者应用多元化护理干预对治疗效果及自我管理行为的影响。 方法 整群选择该院于2013 年8月―2015 年3月期间收治的84例精神分裂症患者作为研究对象，随机分为对照组（42例）和观察组（42例）。两组患者均在该院接受抗精神病药物治疗，期间两组按常规护理，观察组增加多元化护理干预，比较两组患者的自我管理能力及治疗效果。 结果 干预后，观察组PANSS评分显著低于对照组，组间差异有统计学意义（P0.05）。自我管理能力评分比较：干预后，在日常生活自理、医嘱行为遵守、心理自我调节、社会生活能力方面，观察组评分均显著高于对照组，组间差异有统计学意义（P0.05）。SDSS评分：干预后，观察组（12.36±3.95）分，对照组（24.48±5.74）分，组间差异有统计学意义（P0.05）。 结论 精神分裂症患者应用多元化护理干预，可有效提升患者自我管理能力，有助于改善患者预后。 　　[关键词] 多元化护理； 精神分裂症； 自我管理；阳性和阴性症状量表（PANSS） 评分 　　[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742（2016）01（b）-0167-03 　　Effect of Diversified Nursing Applied to the Self-management in Patients with Schizophrenia 　　LIU Jin-qiu 　　Nursing Department， Heilongjiang Harbin Puning Hospital， Harbin， Heilongjiang Province， 150027 China 　　[Abstract] Objective To investigate the effect of diversified nursing intervention on the treatment result and self-management in patients with schizophrenia. Methods 84 patients with schizophrenia admitted in our hospital from August 2013 to March 2015 were selected as the subjects and randomly divided into the control group （42 cases） and the observation group （42 cases）. Both groups were given the antipsychotic drugs for treatment. During the treatment， the conventional nursing were given to both groups， in addition， the observation group were given the diversified nursing intervention. And the self-management ability and treatment effect were compared between the two groups. Results After intervention， the PANSS score in the observation group was significantly lower than that in the control group， and the difference between the two groups was statistically significant， P0.05. In terms of self-management ability， after the intervention， the scores in the aspects of activities of daily living， behavior of medical compliance， self-regulation of psychology and social life ability in the observation group were significantly higher than those in the control group， the differences between the two groups were statistically si