儿童精神分裂症患者亲属心理健康状况及护理干预效果评价

A study on the the relationship between menial health of caregivers of childhood schizophrenia inpatients and nursing intervention.

目的探讨儿童精神分裂症住院患者亲属的心理健康状况及护理干预效果，为临床护理干预提供依据。方法将63例儿童精神分裂症住院患儿的亲属分为干预组32例，对照组31例。两组均接受常规陪护指导，干预组在此基础上接受护理干预。观察1个月。于护理干预前后采用焦虑自评量表、抑郁自评量表评定亲属的焦虑抑郁状况，白拟一般项目调查表评定亲属对精神疾病知识的了解度及学习需求。结果亲属焦虑自评量表、抑郁自评量表评分均显著高于常模（t=8．95、12．97，P〈0．01）。护理干预后干预组焦虑自评量表、抑郁自评量表评分均较干预前有显著性下降（P〈0．01）；对照组均有所下降，但差异无显著性（P〉0．05）；干预组焦虑自评量表、抑郁自评量表评分均显著低于对照组（P〈0．01）。护理干预前84％的亲属对精神分裂症不了解，90％的亲属表达了学习的需要；护理干预后57％的亲属能基本了解精神分裂症的基本知识和康复、护理及如何预防复发等知识。结论精神分裂症息儿亲属焦虑、抑郁情绪突出；护理干预能改善这些不良情绪。

Objective To explore the mental health of the caregivers of childhood schizophrenia inpatients the efficacy of nursing intervention. Methods The 63 caregivers were distributed to intervention group （32 cases） and control group （31cases）. The two groups all accepted the guidance of conventional chaperone , however the intervention group also received nursing intervention. Use SDS and SAS to assess the anxiety and depression status of the caregivers before and after nursing intervention. Use the Self-evaluated general information scale to assess their knowledge about mental illness and learning needs. Resullts Their scores of SDS and SAS were significantly higher than the norm（ t=8.95,12.97, P〈0.01）. About to the intervention group ,the scores of SDS and SAS were significantly decreased after nursing intervention（ P 〈0.01）. Compare with control group , the intervention group SAS and SDS score were significantly decreased（ P 〈0.01）. And that significantly lower in the intervention than in the non-intervention group （ P 〈0.01）. Nursing intervention can increase the understanding of disease. Conclusion The caregivers of Childhood schizophrenia inpatients have significant anxiety and depression,and nursing intervention can improve the negative mood.