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精神分裂症患者采用奥氮平治疗期间的心理干预体会

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目的 研究分析精神分裂症患者采用奥氮平治疗期间的心理干预体会.方法 选取本院2015年2月~2016年10月收治的336例精神分裂症患者为研究对象,随机分为对照组和实验组,每组168例.对照组患者进行奥氮平治疗,实验组患者在此基础上给予心理干预,关注患者的心理状态,加强与患者的沟通和交流,增加患者的治疗信心和治疗依从性.比较分析2组患者的治疗效果.结果 治疗后,实验组患者中,7例患者出现护理纠纷,比例为4.17%.对照组患者中,46例患者出现护理纠纷,所占比例为27.38%.可得,实验组患者发生护理纠纷的概率显著低于对照组,差异具有统计学意义(P<0.05).实验组患者治疗有效例数为168例,对照组患者治疗有效例数为120例,所占比例为71.43%,差异具有统计学意义(P<0.05).对照组患者的护理满意度例数为130例,38例患者不满意,70例患者一般满意,60例患者十分满意,护理满意率为77.38%显著低于实验组满意率(100.00%),差异具有统计学意义(P<0.05).结论 心理干预配合奥氮平治疗难治性精神分裂症的临床效果较好,能够显著提高治疗有效率,具有临床进一步推广的意义.
The psychological intervention of schizophrenia patients with olanzapine treatment
Objective To study the psychological intervention of patients with schizophrenia using olanzapine treatment. Methods A total of 336 patients with schizophrenia from February 2015 to October 2016 were selected as the study subjects,randomly divided into the control group and the experimental group,each with 168 patients.Control group patients with olanzapine treatment,on the basis of the experimental group patients given psychological intervention,pay attention to the psychological state of the patients,strengthen the communication and exchanges with the patient,the treatment of patients with increased confidence and treatment compliance.The therapeutic effect of the experimental group and the control group was compared. Results After the corresponding treatment,7 patients in the experimental group showed a nursing dispute,which was 4.17%. In the control group, 46 patients had nursing disputes, accounting for 27.38%.However,the probability of nursing dispute in the experimental group was significantly lower than that in the control group,with statistical difference(P<0.05).The effective number of patients in the experimental group was 168.The effective number of patients in the control group was 120,and the proportion was 71.43%,with statistical difference(P<0.05). Control patients satisfaction with nursing cases for 130 cases,38 cases of patients are not satisfied,70 patients were generally satisfied with,is satisfied with 60 patients,patient satisfaction and nursing satisfaction rate of 77.38% significantly lower than that of the experimental group(100%),with statistical difference(P<0.05). Conclusion Psychological intervention with olanzapine in the treatment of refractory schizophrenia better clinical effect, can significantly improve the treatment efficiency,further promotion of clinical significance.

psychological interventionolanzapine treatmentschizophreniaclinical effect

方渠、何飞

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绍兴市第七人民医院 精神科, 浙江 绍兴 312000

心理干预 奥氮平治疗 精神分裂症 临床效果

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(9)
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