抗精神病药物药源性肥胖的护理干预效果研究

The use of the nursing care intervention in weight gain with antipsychotic effect

目的:探讨护理干预在抗精神病药物致药源性肥胖中的作用。方法:将109例首发精神分裂症住院病人随机分为护理干预组(56例,脱落3例)和对照组(53例,脱落2例)。护理干预组采取抗精神病药物治疗+护理干预,对病人进行有关肥胖对身体有何危害的知识教育,如何合理饮食、加强锻炼,保持良好的心情和生活规律等护理干预综合措施;对照组单独采取抗精神病药物治疗方法。将两组入院、出院及出院后6个月、12个月和24个月随访时的体重进行比较。结果:入院和出院时两组体重改变差异无显著性(P>0.05);随访结果,两组体重随着时间的推移差别越来越具有显著性(t=-3.52,-3.64和-4.06;P<0.01)。结论:护理干预在抗精神病药物致药源性肥胖中所起的作用是显著的。

Objective： To study the use of the nursing care intervention in weight gain with antipsychotic. Methods： Totally 109 first - episode inpatients who were divided randomly into two groups： the study group（n = 56, fall off 3 cases） received antipsychotic therapy with nursing care intervention （reasonable- food and drink, to strengthen training, good attitude of mind and good liferule）, and the control groups （n = 53, fall off 2 cases） only received the antipsychotic therapy. The measure body mass were assessed by before post - discharge and follow - up conducted for 6 months and 12 months and 24 months respectively. Results： The body mass of measured was on significant difference on admission and discharge between two groups （ P 〉 0.05）. The patients were followed up, which was height significant difference between the study group and the control（ t = - 3.52, - 3.64 和 - 4.06 ; P 〈 0.01 ）. Conclusions： The nursing care Intervention has significant prevent prophylactic.