首页|延续性护理对精神分裂症患者服药依从性和生活质量的影响

延续性护理对精神分裂症患者服药依从性和生活质量的影响

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目的 探讨延续性护理在精神分裂症患者中的应用效果.方法 选择2021年6月—2022年6月本院收治的102例精神分裂症患者为研究对象,采用电脑数字编号依据奇偶数将研究对象分为对照组和观察组,各51例.对照组采用常规护理,观察组在对照组基础上采用延续性护理.比较两组的服药依从性、阳性和阴性症状、心理状态、社会功能、生活质量.结果 观察组总服药依从率为100.00%,高于对照组的96.08%,差异有统计学意义(P<0.05).护理后,观察组阳性症状、阴性症状、一般精神病理评分及总分均低于对照组,组间差异有统计学意义(P<0.05);观察组个人与社会功能量表评分高于对照组,焦虑自评量表、抑郁自评量表评分均低于对照组,组间差异有统计学意义(P<0.05);观察组心理社会、精力/动机、症状/副反应评分及总分均低于对照组,组间差异有统计学意义(P<0.05).结论 将延续性护理干预应用于精神分裂症患者,可提高患者出院后的服药依从性,促进阳性和阴性症状改善,平复负面情绪,稳定心理状态,改善社会功能,提高生活质量,值得推广.
Influence of Continuous Nursing on Medication Compliance and Quality of Life in Patients with Schizophrenia
Objective To explore the influence of continuous nursing on discharge nursing of patients with schizophrenia. Methods A total of 102 patients with schizophrenia who were admitted to the hospital from June 2021 to June 2022 were selected as the research objects,and they were divided into a control group and observation group according to the odd and even number of the computer number,with 51 cases in each group. The control group was given conventional nursing,and the observation group was given continuous nursing on the basis of the control group. Medication compliance,positive and negative symptoms,mental state,social function and life quality were compared between the two groups. Results The total medication adherence rate of the observation group was 100.00%,which was higher than 96.08% of the control group,and the difference was statistically significant (P<0.05). After nursing,the positive symptoms,negative symptoms,general psychopathological score,and total score of the observation group were lower than those of the control group,and the differences between the groups were statistically significant (P<0.05);the Personal and Social Performance Scale scores of the observation group were higher than those of the control group,while the scores of the Self-Rating Anxiety Scale and the Self-Rating Depression Scale were lower than those of the control group,with statistically significant differences between the groups (P<0.05);the psychological and social,energy/motivation,symptom/side reaction scores,and total scores of the observation group were lower than those of the control group,and the differences between the groups were statistically significant (P<0.05). Conclusion Continuous nursing intervention in patients with schizophrenia can improve the medication compliance of patients after discharge,promote the improvement of positive and negative symptoms,calm negative emotions,stabilize mental state,improve social function and quality of life,which is worthy of promotion.

SchizophreniaContinuing nursingMedication complianceQuality of lifePsychological state

李丽、李复莲、李荣琴

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山东省戴庄医院精神二科,山东济宁 272051

精神分裂症 延续性护理 服药依从性 生活质量 心理状态

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(18)