精神病患者出院健康教育实施现状探讨

The health education implementation of the mental patiens after leave the hospital

目的:探讨精神病患者出院健康教育实施现状。方法:随机抽取220份精神科护理病历,对出院两年后的199例精神病患者进行随访,用自行编制的《出院健康教育质量评估量表》对我院实施出院健康教育的病例进行质量评分,并按评分高低划分为出院健康教育质量合格组和不合格组,分别记录两组精神病患者的《社会功能缺陷筛选量表》(SDSS)评分和精神疾病复发率。结果:出院健康教育质量合格组《出院健康教育质量评估量表》总平均评分7.95±1.48,与不合格组总平均评分3.35±1.27比较存在显著性差异(P<0.01);出院健康教育质量合格组精神病患者SDSS总平均评分和疾病复发率分别是7.59±7.90、21.18%,与不合格组9.95±8.29、45.61%比较存在显著性差异。结论:精神科护士必须加强精神卫生专业知识学习,有针对性对精神病患者进行出院健康教育和指导,从而提高精神病患者的依从性,降低疾病复发率,促进精神病患者社会功能恢复。

Objective：The goal discussion mental patinet leaves the hospital the heal th education implementation present situation. Methods：Stochastically extracts 220 neurology departments to nurse the medical record, to leaves the hospital two year after 199examples mental patient to carry on makes a follow -up visit, with voluntarily establishes ＂Leaves the hoapital Health Education Quality To appraise Meter＂ leaves the hospital health education case of illness to my courtyard implementation to carry on the quality to grade, and according to grades the height to divide for leaves the hospital the health education quality qualified group and the unquali- fied group, separately records two groups of mental patients ＂Social function Flaw Screening Meter＂（SDSS） to grade with mental dis- ease recurring rate. Results： Leaves the hospital the health education quality qualified group ＂To leave the hospital Health Education Quality To appraise Meter＂ always equally grades 7.95 ± 1.48, always equally grades 3.35 ± 1.27 the comparison existence very obvious difference with the unqualified group （P 〈0.01 ） ;Leaves the hospital healty education quality qualified group mental patient SDSS always equally to grade with disease recurring rate respectively is 7.59 ±7.90,21.18%, with unqualified group 9.95 ± 8.29,45.61% comparisons existences very obvious difference. Conclusions： The neurology department nurses must strengthen the mental hygiene specialized knowledge study, has pointed carries on to the mental patient leaves the hospital the health education and the instruction, thus enhances mental patient＇s compliance, reduces disease recurring rate, primotion mental patient social function restoration.