世界睡眠医学杂志2024,Vol.11Issue(2) :450-453.DOI:10.3969/j.issn.2095-7130.2024.02.061

家庭参与式护理对精神分裂症患者依从性、临床症状及睡眠质量影响

To Explore the Effects of Family Participation Nursing on Treatment Compliance,Clinical Symptoms and Sleep Quality in Patients with Schizophrenia

王玉婷 林婷婷 陈婷婷
世界睡眠医学杂志2024,Vol.11Issue(2) :450-453.DOI:10.3969/j.issn.2095-7130.2024.02.061

家庭参与式护理对精神分裂症患者依从性、临床症状及睡眠质量影响

To Explore the Effects of Family Participation Nursing on Treatment Compliance,Clinical Symptoms and Sleep Quality in Patients with Schizophrenia

王玉婷 1林婷婷 1陈婷婷2
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作者信息

  • 1. 泉州市第三医院精神科,泉州,362121
  • 2. 泉州市第三医院临床心理科,泉州,362121
  • 折叠

摘要

目的:探究家庭参与式护理对精神分裂症患者治疗依从性、临床症状以及睡眠质量的影响.方法:选取2020年7月至2022年9月泉州市第三医院收治的精神分裂症患者100例作为研究对象,按照掷骰子的方式随机分为对照组和观察组,每组50例.对照组单纯接受常规护理,观察组在常规护理的基础上增加家庭参与式护理,对比2组患者干预依从性、住院患者护理观察量表(NOSIE)评分、阳性与阴性症状量表(PANSS)评分、匹兹堡睡眠质量指数(PSQI)得分差异.结果:护理前2组患者的依从率、NOSIE得分、PANSS得分、PSQI得分组间差异均无统计学意义(均P>0.05),护理后观察组患者完全依从率达到46.00%,显著高于对照组的20.00%,差异有统计学意义(P<0.05),观察组患者总积极和总病情维度得分明显高于对照组,总消极维度得分明显低于对照组,差异均有统计学意义(均P<0.05),观察组治疗8周时PANSS评分和PSQI得分均低于对照组,差异均有统计学意义(均P<0.05).结论:对精神分裂症患者开展家庭参与式护理有助于提高患者的治疗依从性,改善其临床症状,同时对缓解患者睡眠障碍具有积极意义,建议临床推广运用.

Abstract

Objective:To explore the effect of family participation nursing on treatment compliance,clinical symptoms and sleep quality of patients with schizophrenia.Methods:A total of 100 schizophrenic patients who were treated in the Quanzhou Third Hospital of from July 2020 to September 2022 were selected as the research objects,and were randomly divided into the observa-tion group(n=50,adding family participation nursing on the basis of routine nursing)and the control group(n=50,simply re-ceiving routine nursing)by rolling dice.The intervention compliance,Nurses'Observation Scale for Inpatient Evaluation(NOSIE)score,Positive and Negative Syndrome Scale(PANSS)score and Pittsburgh Sleep Quality Index(PSQI)score of the two groups were compared.Results:There was no significant difference in the compliance rate,NOSIE score,PANSS score and PSQI score between the two groups before treatment(Ps>0.05).After treatment,the complete compliance rate of the observation group was 46.00%,which was significantly higher than 20.00%of the control group(P<0.05).The total positive and total illness dimen-sion scores of the observation group were significantly higher than those of the control group,and the total negative dimension score was significantly lower than that of the control group(Ps<0.05).The PANSS score and PSQI score of the observation group were lower than those of the control group after 8 weeks of treatment(P<0.05).Conclusion:Family participation nursing for patients with schizophrenia can help to improve the treatment compliance of patients,improve their clinical symptoms,and relieve sleep disorders of patients,which is worthy of clinical application.

关键词

家庭参与式/精神分裂症/治疗依从性/临床症状/睡眠质量/护理措施/临床价值

Key words

Family participation nursing/Schizophrenia/Adherence to treatment/Clinical symptoms/Sleep quality/Nursing measures/Clinical value

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出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

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