家庭人文关怀对社区精神分裂症患者社会功能影响.docVIP

家庭人文关怀对社区精神分裂症患者社会功能影响 　　[摘要]目的 探讨家庭人文关怀对回归社区的精神分裂症患者社会功能的影响。方法 选取2016年1～6月在我院出院的90例广州市区精神分裂症患者作为研究对象，采用随机数字表法将其分为实验组和对照组，每组45例。实验组由康复护士定期指导家属开展家庭人文关怀，对照组由家属自行安排生活。采用阴性症状量表（SANS）和社会功能缺陷筛选量表（SDSS），分别在基线和干预后6个月对两组研究对象进行评估。结果 干预后，两组患者SANS和SDSS各项指标评分结果比较，有统计学意义（P0.05）；与同组干预前比较，实验组各项指标评分外，差异有统计学意义（P0.05），对照组只有SANS总分、SDSS总分、社会性退缩因子、生活自理因子、对外界兴趣因子、责任心因子与干预前比较，差异有统计学意义（P0.05）；实验组除婚姻、父母职能因子外，其余各指标评分均低于对照组，差异有统计学意义（P0.05）。结论 开展家庭人文关怀对回归社区的精神分裂?Y患者的社会功能恢复具有积极的意义，积极健康的家庭环境有利于提高患者的生活质量。 　　[关键词]精神分裂症；社会功能；人文关怀；社区；家庭 　　[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721（2018）1（b）-0188-04 　　[Abstract]Objective To explore the effect of family humanistic care on the social functioning of schizophrenia patients who return to communities.Methods The 90 schizophrenia patients were selected from who with Guangzhou city were discharged from my hospital in January to June 2016.They were randomly divided into experimental group and control group with 45 cases in each group.The patients in the experimental group were received humanistic care provided by their family members under rehabilitation nurses′ guidance，while in the control group was taken care of by their family members without guidance.The scale for the assessment of negative symptoms （SANS） and the social disability screening schedule （SDSS） were used to assess the outcome of subjects with two groups，when was at baseline and the 6 month after the intervention.Results There were no statistical difference in the two groups of the SANS and SDSS scores before the intervention，the differences were not statistically significant （P0.05）.After the intervention，the scores of both groups decreased，and there were statistical difference in the experimental group in addition to the marriage，the parents function factor score （P0.05），while there were statistical difference in the control group only SANS scores，SDSS scores and social withdrawal factor （P0.05）.After the intervention，the scores in addition to the marriage and the parents function factor w