首页|以家庭为中心的护理模式对稳定精神分裂症患者症状自评量表评分及服药依从性的影响研究

以家庭为中心的护理模式对稳定精神分裂症患者症状自评量表评分及服药依从性的影响研究

Effect of FCC Model on SCL-90 Score and Medication Compliance in Stable Schizophrenic Patients

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目的:研究以家庭为中心的护理模式(FCC)对稳定精神分裂症(SP)患者症状自评量表(SCL-90)评分及服药依从性的影响.方法:选取2020年6月—2022年5月商丘市第二人民医院收治的146例稳定SP患者作为研究对象,随机将其分为试验组和对照组,每组各73例.对照组患者实施常规护理干预,试验组患者在对照组基础上实施FCC干预.对比两组患者SCL-90评分、服药依从性、康复效果[阳性与阴性症状量表(PANSS)]、生活质量[精神分裂症患者生活质量量表(SQLS)]、护理满意度情况.结果:出院1年后,试验组患者SCL-90、SQLS评分均低于对照组患者,差异均有统计学意义(t=5.706、12.325,P<0.001).试验组患者服药依从率高于对照组患者,差异有统计学意义(x2=9.172,P<0.05).出院1年后,试验组患者阳性症状、阴性症状、精神病理评分均低于对照组患者,差异均有统计学意义(t=5.089、5.248、5.999,P<0.001).试验组患者护理满意度高于对照组患者,差异有统计学意义(x2=4.263,P<0.05).结论:FCC能够改善稳定SP患者的心理状态,提高其服药依从性及康复效果,护理满意度高.
Objective:To investigate the effects of family-centered nursing(FCC)mode on SCL-90 score and medication compliance in patients with stable schizophrenia(SP).Methods:146 patients with stable SP in the hospital from June 2020 to May 2022 were randomly divided into experimental group(n=73)and control group(n=73).The control group received routine nursing intervention,and the experimental group received FCC mode intervention based on the control group.SCL-90 score,medication compliance,rehabilitation effect[Positive and Negative Symptom Scale(PANSS)],quality of life[SQLS for Schizophrenia patients]and nursing satisfaction of the two groups were compared.Results:One year after discharge,SCL-90 and SQLS scores of test group were lower than those of control group,with statistically significant difference(t=5.706,12.325;P<0.05).The medication compliance rate of experimental group was higher than that of control group,and the difference was statistically significant(x2=9.172,P<0.05).One year after discharge,the positive symptoms,negative symptoms and psychopathological scores of test group were lower than those of control group,and the differences were statistically significant(t=5.089,5.248,5.999;P<0.05).The nursing satisfaction of experimental group was higher than that of control group,and the difference was statistically significant(x2=4.263,P<0.05).Conclusion:FCC mode can improve the psychological state of stable SP patients,improve medication compliance and rehabilitation effect,and enhance nursing satisfaction.

FCC modelSPSCL-90Medication compliance

孙静

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商丘市第二人民医院精神科九病区,河南 商丘 476000

家庭为中心的护理模式 精神分裂症 症状自评量表 服药依从性

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(19)