个性化护理对独生子女精神分裂症患者的康复效应

Rehabilitation effects of the personalized nursing for the only-child with schizophrenia

目的 探讨个性化护理对独生子女精神分裂症患者的康复效应.方法 以住院独生子女精神分裂症患者为对象,随机分为两组,研究组32例实施个性化护理和系统化健康教育,对照组31例实施常规护理和一般健康教育.结果 干预后研究组的治疗依从性、护理依从性、检查配合度、活动参与度均显著好于对照组（P＜0.05）；干预后研究组的BPRS总分及缺乏活力、激活性因子分均显著低于对照组（P＜0.05）；干预后研究组阳性症状、情感症状、认知症状的检出率均显著低于对照组（9.4％ vs 29.0％,3.1％ vs 19.4％,6.3％ vs 25.8％,均P＜0.05）.结论 充分考虑独生子女患者不同的症状特点和个性特征,采取相应的个性化护理措施可取得较好的成效.

Objective To explore the rehabilitation effects of the personalized nursing for the only-child with schizophrenia.Methods The subjects were the only-child with schizophrenia.They were randomly divided into two groups.The study group （n=32） was performed with personalized nursing and systematic health educations.The control group （n=31） was given routine nursing and general health educations.Results Before interventions,there was no significant difference between the two groups （P〉0.05）.But after intervention,the study group showed significantly better than the control group in the treatment dependence,nursing dependence,check cooperation and participate in activities （P 〈 0.05）.The total score of BPRS and factor scores of lack vitality and activation showed significantly lower in the study group than in the control group （P 〈 0.05）.After intervention,the incidences of positive,affection and cognition symptoms were 9.4%,3.1% and 6.3% of the study group respectively,which were significantly lower than those of the control group （29.0%,19.4%,25.8%,respectively,P 〈 0.05）.Conclusion Based on adequate consideration to the different symptoms and personality of the only-child,the personalized nursing measures have better effects.