分组护理对精神病患者的康复效果观察

Effect observation of grouping nursing on the rehabilitation of psychiatric patients

目的探讨分组护理对精神病患者康复的效果。方法对慢性、流浪救助精神病患者30例进行分组,部分恢复期患者参与帮助,以传递爱心为主线,在护士指导下对慢性、流浪救助患者分别给予技能训练、康复指导和爱心帮扶。运用日常生活能力量表(ADL)及住院患者观察量表(NOSIE)分别在分组护理前、后进行综合评定,总结患者的临床效果及康复情况。结果经过1年的分组护理,除吃饭、如厕和精神病表现外,患者其余项目的自理能力、社会功能、社会兴趣、个人整洁、总积极因素评分显著高于分组前,而激惹、迟缓、抑郁总消极因素评分低于分组前,差异有统计学意义(P<0.01)。结论对慢性、流浪救助精神病患者实行分组护理可明显提高患者的日常生活能力和社会功能。

Objective To discuss the effect of grouping nursing on the rehabilitation of psychiatric patients. Methods30 cases of vagrant aid mental patients were divided into groups,part of them in recovery stage participated in the activity. Taking passing on love as main line,the chronic vagrant aided patients received technical training,recovery guidance and benevolent help under nurses＇ lead. With activities of daily living（ ADL） and nurse observation scale for inpatient evaluation（ NOSIE）,conducted comprehensive evaluation and summarized patients＇ clinical effect and recovery condition before and after grouping nursing respectively. Results After one year＇s grouping nursing,apart from eating,going to toilet and mental disease behaviours,the score of the rest items of patients＇ self-caring ability,social function,social interest,self-neatness and other positive factors was obviously higher than that of grouping nursing time. And the score of irritability,sluggishness,depression and other negative factors was lower than that of grouping nursing time,the differences were statistically significant（ P 0. 01）.Conclusion Grouping nursing can improve chronic vagrant aided patients＇ daily-living ability and social function.