健康教育对首发恢复期精神分裂症患者康复的影响

Effects of health education on rehabilitation of first episode schizophrenia during the recovery period

目的探讨健康教育在恢复期精神分裂症患者康复中的作用。方法将60例患者随机分为观察组30例，对照组30例，两组均经药物治疗病情稳定后入组。观察组予健康教育护理，对照组予一般卫生宣教，共观察12周。采用简明精神病评定量表（BPRS），住院患者护士观察量表（NOSIE），在入组时和入组后4，8，12周末各评定1次。结果观察组入组8周末及12周末BPRS评分分别为[（22．8±3．1），（20．4±3．8）分]，与对照组[（25．1±5．2），（23．8±7．9）分]相比有统计学意义；NOSIE评分观察组4周末社会兴趣、个人卫生、精神病性因子分方面与对照组比较有统计学意义，8周末起其余因子分两组比较均有统计学意义。结论健康教育对恢复期精神分裂症患者能够起到提高疗效作用。

Objective To investigate the role of health education in the rehabilitation of schizophrenia patients during recovery period. Methods 60 schizophrenia patients were randomly divided into two groups, with 30 cases in the observation group and 30 cases in the control group. All the patients had accepted the treatment of pharmaceuticals before they entered the respective group and had a stable status of disease. The patients in the observation group were given health education while the patients in the control group only given general instruction on sanitation issues. The study lasted 12 weeks. And each evaluation was conducted at the time of entering the groups, and at 4, 8 and 12 weeks after having entered the groups, with The Brief Psychiatric Rating Scale （BPRS） and the Nurses＇ Observation Scale for Inpatient Evaluation （NOSIE）. Results The BPRS scores for the observation group at the end of 8 weeks and of 12 weeks are significantly lower than those of the control group. The NOSIE scores for the observation group at the end of 4 weeks showed that the patients＇ interest to society, personal hygiene, factors of mental diseases and etc. had significant differences compared to those of the patients in the control group. At the end of the 8th week, the scores for the rest factors between the two groups had a significant difference. Conclusions Health education can improve the treatment effectiveness in the rehabilitation of schizophrenia patients during recovery period.