精神分裂症患者实施健康教育方法研究

Researches of health education methods in schizophrenics

目的探讨目标健康教育对精神分裂症患者及其家属的临床效果。方法将100例精神分裂症患者随机分为两组各50例,两组患者均以整体护理为基础,观察组实施阶段式目标健康教育,对照组采用传统随机性健康教育。于患者入、出院时采用护士用住院病人观察量表、健康知识知晓测评表、满意度调查问卷评定健康教育效果。结果护士用住院病人观察量表评分,两组健康教育后均较健康教育前有显著下降,但观察组较对照组下降更显著(P<0.01);健康知识知晓测评表及满意度调查问卷评分,两组出院时均较入院时有显著提高(P<0.01),但观察组较对照组提高更显著(P<0.01)。结论阶段式目标健康教育方式,能显著提高健康教育效果和护理服务质量,有利于疾病康复。

Objective To explore clinical effectiveness of goal health education on schizophrenics and their familiaties. Methods 100 schizophrenics were randomly divided into control （n=50） receiving holistic nursing care plus random health education and observation（n=50） group doing holistic nursing care plus stgewise goal health education. Assessments of health education effectiveness were congducte on admission and discharge with the Nurses＇ Observation Scale for Inpatient Evaluation（NOSIE）, the Questionnaire on Health Knowledge Understanding（QHKU） and the Nurses＇ Job Satisfaction SCale（NJSS）. Results Scores of both two groups lowered more significantly after health education compared with pre-edueation, those of the observation did more significantly than the control group（P〈0. 01） according to the NOSIE; scores of the QHKU and the NJSS of both the groups were significantly higher on discharge than admission（P〈0. 01）, those of the observation increased more significantly than of the control group（P〈0. 01）. Conclusion Stagewise goal health education can significantly improve the effectiveness of health education and health service quality and makes for disease recovery.