精神分裂症患者医院社区一体化康复护理研究

A Study on rehabilitation nursing of schizophrenic patients in hospital community integration

目的探讨医院社区一体化康复护理干预模式对精神分裂症患者的影响。方法将240例精神分裂症住院患者随机分为观察组与对照组，各组120例，均予常规治疗和护理，随访1年。观察组制订个体化的康复训练计划，实施医院社区一体化康复护理干预。采用总体幸福感量表（GWS）、社会功能缺陷筛选量表（SDSS）和Morning Side康复状态量表（MRSS），分别于病人出院时和1年进行评估，比较两组患者1年复发率和服药依从性。结果干预1年后，两组患者GWS、RSS及SDSS的评分相比，均有统计学意义（P〈0．01）；观察组服药依从性较对照组高，复发率较对照组低（P〈0．01）。结论医院社区一体化康复护理干预可提高精神分裂症患者对精神病的认知水平和服药依从性，减少疾病复发，有效改善其受损的社会功能，提高病人的总体幸福感。

Objective To study on the impact of rehabilitation nursing intervention model for patients with schizophrenia in hospital community integration. Methods A total of 240 cases of schizophrenia inpatients were divided randomly into observation group and control group, each group of 120 patients, all given routine treatment and care, were followed up for 1 year. Observation group patients were designed individual rehabilitation plan and implemented rehabilitation nursing intervention in hospital community integration. The General Well Being Scale （GWS）, Social Disability Screening Scale （SDSS） and the Morning Side Rehabilitation Status Scale （MRSS） were adopted to evaluate the effect when the patients discharged and after 1 year from hospital, relapse rate and medication compliance were compared between two groups after 1 year. Results After 1 year intervention, both groups GWS, MRSS and SDSS scores were statistically significant （P 〈0. 01 ） ; The drug compliance in observation group were higher than in control group, the recurrence rate were lower than the control group （P 〈 0. 01 ） . Conclusions Rehabilitation nursing intervention in hospital community integration can raise the cognitive level of mental illness and medication compliance of patients with schizophrenia, reduce disease recurrence and effectively improve their impaired social function, increase the patient~ general well - being.