康复护理干预对精神分裂症患者社会功能缺陷的影响

Effect of rehabilitative nursing intervention on schizophrenic patient with defects in social function

目的:探讨康复护理干预对精神分裂症患者社会功能缺陷的影响。方法:将211例精神分裂症患者随机分为研究组105例和对照组106例,研究组实施住院康复及综合护理干预;对照组实施住院康复和常规护理。应用社会功能缺陷评定量表(SDSS)在康复前和干预3个月后各评定1次,比较两组患者社会功能恢复情况。结果:研究组SDSS总分康复前为6.34±1.67,康复后降为4.22±1.06,前后比较差异有显著性(P<0.01),且均显著优于对照组(P<0.01)。其中,以职业功能、社会活动、家庭活动、生活能力等功能的改善较明显(P<0.05,P<0.01)。结论:精神分裂症患者存在不同程度的社会功能缺陷,住院康复及综合护理干预对精神分裂症患者社会功能缺陷有显著改善作用。

Objective: To explore the effect of rehabilitative nursing intervention on schizophrenic patient with defects in social function.Methods: Two hundred and eleven schizophrenic patients were divided into study group(n=105) and control group(n=106) at random.Residential rehabilitation combined with comprehensive nursing intervention was taken in study group,and residential rehabilitation with only routine nursing care was used in control group.SDSS was applied to make an assessment before rehabilitation and after 3-month rehabilitation,comparing the improvement of patients between the two groups.Results: The scores of SDSS before rehabilitation was 6.34 ± 1.67 and 4.22 ± 1.06 after rehabilitation in study group.The significant difference was found before and after rehabilitation(P<0.01),and the improvement was much better than that in control group(P<0.01).Conclusion: Schizophrenic patients have defects with various degrees in social function.Residential rehabilitation combined with comprehensive nursing intervention is very effective to improve the conditions of schizophrenic patients.