精神科开放病房实施人文关怀护理管理的效果研究

Study of the effect on the psychiatric open ward which was implemented the humanistic nursing management

目的探讨精神科开放病房护士对精神分裂症患者实施人文关怀护理管理的临床效果。方法选取2010年1～5月住院精神分裂症患者120例为测试对象，按住院时间段分为对照组和研究组，各60例。两组在接受抗精神病药物系统治疗的基础上，对照组接受常规护理管理，研究组接受人文关怀护理管理。于出院时，采用心理舒适感问卷调查表、症状自评量表（SCL-90）、护士用住院精神病人观察量表（NOSm）和住院病人满意度调查表等评价工具对两组进行效果评定。结果出院时，两组心理舒适感评估，研究组安全感为86．7％、满足感为95．6％、尊重感92．5％，对照组安全感为45．6％、满足感为57．8％、尊重感41．3％。两组比较存在显著差异（r值分别为23．2、49．6、36．5，P均〈0．01）；两组心理健康水平评比，研究组SCL-90总均分为（1．45±0．73）分，对照组为（1．76±0．52）分，两组比较，差异显著（t=2．68，P〈0．01）；两组行为障碍评比，研究组NOSIE病情总估计为（186．79±9．84）分，对照组为（165．12±9．21）分，两组比较，差异显著（t=13．10，P〈0．01）；两组护士总体满意度评比，研究组为（4．87±0．77）分，对照组为（4．32±0．54）分，两组比较，差异显著（t=4．53，P〈0．01）。结论实施人文关怀护理管理，提供高品质的护理服务，一方面能够提高精神科住院病人满意度，另一方面，能够促进精神分裂症患者的心理和行为障碍的改善，对病人总体康复具有明显的促进作用。

Objective To explore the clinical efficacy of the humanistic nursing management that was implemented by the nurses who was in the psychiatry open ward. Methods There were 120 patients hospitalized patients with schizophrenia who were tested objects in hospital from March to December, 2009. According to the length of stays, they were devided into study group and contral group. There was 60 patients in each gruoup. Two groups were on the basis of system treatment of the antipsychotic drug, the eontral group was accepted the ward conventional nursing management, the study group was accepted the humanistic nursing management. When they left the hospital, the clinincal effects were evaluated by the psychological comfort questionnaire , SCL- 90, NOSIE and the hospital patient satisfaction questionnaire for both groups. Results When they left the hospital, the feeling of safety in study group was 86. 7%, satisfaction was 95.6%, feeling respect was 92.5%. the feeling of safety in contral group was 45.6%, satisfaction was 57. 8%, feeling respect was 41.3%. there were significant differences between two groups （x2 respectively was 49. 6 , 36.5 and 23.2, P 〈 0. 01 ）. The total score of SCL - 90 in the study group was （ 1. 45 ± 0. 73）, it was （ 1.76 ± 0.52） in the concral group, there was significant differences between two groups （t = 2. 68, P 〈 0. 01 ）. Two groups of behavioral problems were comparied, the illness total score estimates of NOSIE in the study group was （ 186. 79 ± 9. 84）, in the contral group it was （ 165. 12 ± 9. 21 ）, there were significant differences between two groups （ t = 13.10, P 〈 0. 01 ）. The overall satisfaction in the study group was （4. 87 ±0. 77）, in the contral group it was （4. 32 ±0. 54）, there was significant differences between two groups （t = 4. 53, P 〈 0. 01 ） . Conclusions Implementing humanistic nursing management, and providing the high quality nursing service could enhance psychiatric hospital patient satisfaction, and promote schizophrenia patients with mental and behavioural disorders, it would have significant positive effects for the overall recovery of schizophrenia patients.