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家属共同参与照护计划在精神分裂症康复期患者中的应用

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目的:观察家属共同参与照护计划对精神分裂症康复期患者康复依从性、精神状态等的影响。方法:选取2022 年 1 月—2023 年 7 月安溪县第三医院进行康复治疗的 74 例精神分裂症康复期患者作为研究对象,使用随机数表法将其分为对照组与观察组,每组各 37 例。对照组采用常规护理计划,观察组在对照组基础上使用家属共同参与照护计划,比较两组康复依从性、干预前后精神状态[阳性和阴性症状量表(PANSS)]、应对方式[简易应对方式问卷(SCSQ)]、社会功能[社会功能缺陷筛选量表(SDSS)]评分。结果:观察组康复依从性高于对照组,差异有统计学意义(P<0。05);干预后,观察组PANSS量表中阴性症状、一般精神病理评分、SCSQ量表中消极应对评分、SDSS评分低于对照组,积极应对评分高于对照组,差异有统计学意义(P<0。05)。结论:将家属共同参与照护计划运用于精神分裂症康复期患者中能够提高患者康复依从性,改善精神状态,纠正应对方式,同时消减患者社会功能缺陷,使其尽快融入正常社会生活中。
Application of Family Participatory Care Plan in Patients with Schizophrenia during Convalescence
Objective:To observe the impact of family participatory care plan on compliance with rehabilitation and mental state of patients with schizophrenia during convalescence.Method:From January 2022 to July 2023,74 patients with schizophrenia during convalescence who received rehabilitation at the Third Hospital of Anxi County were selected as the research subjects and were divided into two groups using a table of random numbers,with 37 cases in each group.The control group adopted routine nursing plan,while the observation group adopted family participatorycare plan on this basis.The compliance with rehabilitation,mental state[positive and negative syndrome scale(PANSS)],coping style[simplified coping style questionnaire(SCSQ)]and social function[social disability screening schedule(SDSS)]scores were compared between the two groups.Result:During the intervention,the rehabilitation compliance of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After intervention,the negative symptoms,general psychopathological scores,and negative coping scores and SDSS scores in the SCSQ scale in the observation group were lower than those in the control group,and the positive coping scores in the observation group were higher than those in the control group,with statistical significance(P<0.05).Conclusion:Applying family participatory care planto patients with schizophrenia during convalescence can enhance their compliance with rehabilitation,improve their mental state,correct their coping styles,and reduce their social dysfunction,enabling them to integrate into normal social life as soon as possible.

Family participatorycare planSchizophreniaConvalescenceMental state

苏晓妮、叶双玲、蔡钰红

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安溪县第三医院 福建 安溪 362400

家属共同参与照护计划 精神分裂 康复期 精神状态

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(36)