开放式管理对精神分裂症患者院内康复的影响

Effect of Open Nursing Management on Hospital Rehabilitation of Patients with Schizophrenia

目的探讨开放式管理对精神分裂症患者院内康复的影响。方法对113例进行开放式管理的精神分裂症患者(甲组)与同期进行封闭式管理的141精神分裂症患者(乙组)采用简明精神病量表(BPRS)和护士用住院患者观察量表(NOSIE)等进行临床疗效观察。结果两组在总的病情改善时间、用药及出院疗效等方面均无显著性差异;甲组在服药依从性、社会能力、个人卫生方面比乙组提前获得改善且程度更显著(P<0.05),住院时间明显短于乙组(P<0.01)。结论开放式管理有利于提高精神分裂症患者的临床改善率,缩短住院时间,提高患者及家属对治疗的依从性。

Objective To investigate the effect of open nursing management on hospital rehabilitation of patients with schizophrenia. Methods The outcome of group A, which included 113 patients in open nursing management, and group B, which included 141 patients in close nursing management at the same time, were evaluated with the Brief Psychiatric Rating Scale （BPRS） and the Nurses＇ Observation Scale for Impatient Evaluation （NOSIE）, etc. Results The difference between the two groups in such as the time of symptoms improved, drugs administration, effective rates were not significant （P〉0.05）. The compliance of medicine, social capability and personal sanitation of group A were improved compared with those in group B（P〈0.05）, while the time stay in hospital obviously shortened （P〈0.01）. Conclusion The open nursing management is helpful to improve the rehabilitation and shorten the time stay in hospital of patients with schizophrenia.