护理干预对精神分裂症患者出院后功能康复的对照研究

Influence of Nursing Intervention on Rehabilitation of Patients with Schizophrenia after Discharge

目的探讨护理干预对精神分裂症患者出院后社会功能康复的影响。方法选择2007年12月～2008年3月在我院住院治疗康复出院后的精神分裂症患者60例,随机分为干预组和对照组,各30例。干预组实施护理干预并跟踪随访1年;对照组自愿来院复查。两组均进行简明精神病评定量表(BPRS)、社会功能缺陷筛选量表(SDSS)、日常生活量表(ADL)、服药依从性等比较。结果 1年后,干预组BPRS评分明显低于对照组(P<0.05);SDSS、ADL评分比一年前进步显著(P<0.01),服药依从性明显高于对照组(P<0.05)。结论护理干预是提高精神分裂症患者出院后服药依从性、减少复发、延缓社会功能衰退的重要方法之一。

Objective To study influence of nursing intervention on rehabilitation of social function of patients with Schizo- phrenia after discharge. Methods A total of 60 hospitalized patients of schizophrenia who were discharged and recovered back to the community or family from December 2007 to March 2008, were randomly divided into intervention group（ 30 cases） treated with nursing intervention and control group （ 30 cases） treated with voluntary review to the hospital for one year of treatment. The two groups were assessed with Brief Psychiatric Rating Scale （BPRS）, Social Disability Screening Schedule （SDSS）, comparison of daily living scale （ADL）, medication adherence scale etc. Results After one year intervention, scores of BPRS, in intervention group was significantly lower than those in control group （ P d0.05）, scores of SDSS and ADL was significantly advance than those in control group（P^0.01）, and medication adherence in control group was significantly higher than those in intervention group （ P d0. 05）. Conclusions Follow-up care intervention is important method to improve the medication adherence , reduce the relapse rate and delay the social function decline for patients with psychosis after discharge.