不同性别偏执型精神分裂症患者的护士观察量表评定结果及护理对策

A Study of NOSIE in Nursing Strategy of the Schizophrenia Patients

目的 探讨护士观察量表在对不同性别偏执型精神分裂症患者制定护理对策中的应用价值。方法 用护士观察量表对男女 2组偏执型精神分裂症患者进行评定 ,对照分析 2组间的因子分及问题条目。结果 共完成病例10 0例 ,男女各 5 0例 ,2组患者的社会能力、激惹、迟滞、精神病、抑郁 5个因子差异具有显著性意义 ;条目分析 ,男性组问题少 (6个 )而集中 (归于社会兴趣与个人整洁 2个因子 ) ;女性组问题多 (12个 )而分散 (归于社会兴趣、迟滞、个人整洁、激惹和社会能力 5个因子 )。结论 护士观察量表可为临床护理工作提供量化、客观的观察指标。不同性别偏执型精神分裂症患者应采用不同的护理对策。

Objective To study the value of NOISE in nursing strategy of the male and female schizophrenia patients.Method To evaluate the scores for each factor and item of NOISE in male and female schizophrenia (paranoid type) patients.Results The total cases were 100 patients,male and female were both 50 cases.The result of evaluation showed that there was significant difference in 5 factors such as social competence,irritability,retardation,psychosis and depressive between male and female patients.For the items,there were 6 problem items in the male group,which concentrated in two factors such as social interest and personal neatness;there were 12 problem items in the female group that dispersed to 5 factors such as social interest,retardation,personal neatness,irritability and social competence.Conclusion NOISE can provided some objective data to clinical works of nurses.We should use different nursing strategy for the male and female schizophrenia patients.