中华护理杂志2024,Vol.59Issue(17) :2130-2134.DOI:10.3761/j.issn.0254-1769.2024.17.012

1例精神分裂症并发重度恶性综合征患者的护理

Nursing care of a patient with schizophrenia complicated by severe neurdeptics malignant syndrome

翁慧 耿峰 王艳梅 林廷荣 张勤 张淼
中华护理杂志2024,Vol.59Issue(17) :2130-2134.DOI:10.3761/j.issn.0254-1769.2024.17.012

1例精神分裂症并发重度恶性综合征患者的护理

Nursing care of a patient with schizophrenia complicated by severe neurdeptics malignant syndrome

翁慧 1耿峰 1王艳梅 1林廷荣 1张勤 1张淼2
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作者信息

  • 1. 230601 合肥市 安徽医科大学第二附属医院心理与睡眠医学科
  • 2. 230601 合肥市 安徽医科大学第二附属医院护理部
  • 折叠

摘要

总结1例精神分裂症并发重度恶性综合征患者的护理经验.护理要点:重视抗精神病药物用药监测,尽早识别恶性综合征的发生;发挥跨学科团队优势,快速启动急性期管理措施;联合多模式降温措施,促进患者体温恢复;落实阶梯式干预方案,促进肠道功能恢复;重视家庭支持性治疗,促进社会功能恢复;制订多学科随访计划,做好延续性护理.经过多学科团队的救治和精细化护理,患者顺利出院,共住院47 d.随访3个月,患者日常生活基本恢复正常.

Abstract

To summarize the nursing experience of a patient with schizophrenia complicated by severe neurodeptic malignant syndrome.Nursing points include:to emphasize monitoring of antipsychotic medications to detect the onset of neurodeptic malignant syndrome as early as possible;to leverage the multidisciplinary team for rapid initiation of acute phase management interventions;to combine multimodal cooling to help rewarm the patient;to implement the stepwise intervention program to promote recovery of bowel function;to emphasize family supportive therapy to restore social functioning;to continue case management by developing a multidisciplinary follow-up plan.After careful management and care by the multidisciplinary team,the patient was successfully discharged from the hospital after a total stay of 47 days.After 3 months of follow-up,the patient's daily life was basically back to normal.

关键词

精神分裂症/抗精神病药/恶性综合征/木僵/肠梗阻/护理

Key words

Schizophrenia/Antipsychotic Drugs/Neurdeptics Malignant Syndrome/Wooden Stiffness/Intestinal Obstruction/Nursing Care

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基金项目

安徽省卫生健康科研项目(AHWJ2023A10080)

安徽省质量工程项目(2023jymx11130)

出版年

2024
中华护理杂志
中华护理学会

中华护理杂志

CSTPCD北大核心
影响因子:5.365
ISSN:0254-1769
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