人文护理在住院精神病患者康复中的作用

Effect of humanistic nursing care in the rehabilitation of hospitalized psychotic patients

目的：探讨人文护理在住院精神病患者康复中的作用。方法：研究组为356例住院精神病人，在一般精神科常规护理的基础上同时实施人文护理，对照组为同时期348例住院的精神病患者，仅按照一般精神科护理常规进行护理。评价指标包括住院期间患者的治疗依从性、对护理工作的满意度和安全风险事件发生率。结果：出院时研究组主动配合治疗者由16．29％上升为80．06％，对照组由15．52％上升为69．83％，出院时两组治疗依从性差异具有非常显著性（x^2=9．86，P〈0．01）；研究组满意率为96．63％，对照组为91．67％，两组比较（x^2=8．03，P〈0．05）；住院期间研究组自杀企图与行为、冲动企图与行为和走失企图与行为的发生率均低于对照组（x^2=4．28—6．87，P〈0．05）。结论：人文护理有助于提高住院精神疾病患者治疗的依从性及对护理工作的满意度，并能减少安全风险事件的发生。

Objective： To explore the effect of humanistic nursing care in the rehabilitation of hospitalized psychotic patients. Methods： 356 hospitalized psychotic patients were taken as study group and given humanistic nursing care on the basis of general psychiatric nursing care ; the other 348 psychotic patients admitted at the same time were taken as control group and only given general psychiatric nursing care. The treatment compliance, satisfaction with nursing care and the incidence of risk events were evaluated. Results ： In study group, the percentage of the patients who took the initiative to accept treatment increased from 16.29% to 80.06% when the patients were discharged from hospital and in the control group it increased from 15.52% to 69. 83%. The treatment compliance was significantly different between the two groups （x^2= 9. 86, P 〈 0.01 ） ; the satisfaction rate in study group was 96.63% and 91.67% in control group （x^2 = 8.03, P 〈 0. 05 ）. The incidence of attempt and behavior to commit suicide, impulsive attempt and behavior, the attempt and behavior to wander away during hospitalization were lower in study group than that in control group （x^2 = 4. 28 - 6. 87, P 〈 0. 05 ）. Conclusion ： The humanistic nursing care is conducive to improving the treatment compliance of the hospitalized psychotic patients and increasing their satisfaction with nursing care so as to reduce the incidence of risk events.