人性化护理管理措施对精神分裂症患者康复的影响

Research of the influence of humanized nursing management measures in rehabilitation of patients with schizophrenia

目的：探讨人性化护理管理措施对精神分裂症患者康复的影响。方法选择2012年2月-2013年6月在重庆三峡中心医院平湖分院治疗的精神分裂症患者120例,随机分为观察组和对照组,每组各60例。观察组给予人性化护理管理措施,对照组给予常规护理措施管理。分别于入院时、入院后2、8周采用简明精神疾病评价量表（BPRS）、社会能力缺陷调查量表（SDSS）和症状自评量表（SCL-90）进行效果评定并比较。结果①两组患者在入院时及入院后2周时BPRS量表总分及各分项评分比较,差异均无统计学意义（均P〉0.05）；入院后8周时,观察组焦虑抑郁、缺乏活力、思维障碍、敌对猜疑、总分均低于对照组,差异有高度统计学意义（t =6.88、6.97、8.27、7.39,均〈0.01）。②两组入院时、入院后2周SDSS量表评分差异无统计学意义（P〉0.05）；观察组入院后后8周SDSS量表评分低于对照组,差异有统计学意义（P〈0.05）。③入院后8周观察组SCL-90量表中躯体化、强迫、人际关系、抑郁、焦虑及偏执因子评分均低于对照组,差异均有统计学意义（P〈0.05）；余项目评分差异无统计学意义（P〉0.05）。结论人性化护理管理可改善精神分裂症患者病情,值得在临床推广应用。

Objective To investigate the influence of humanized nursing management measures in rehabilitation of pa-tients with schizophrenia. Methods 120 cases of schizophrenia from February 2012 to June 2013 in Pinghu Branch Hospital of Chongqing Three Gorges Central Hospital were selected and divided into observation group and control group randomly with 60 cases in each group. The observation group was treated with humanized nursing management measures, the control group was treated with conventional nursing measures. The curative effect between the two groups when hospital admission, 2, 8 weeks after hospital were assessed and compared by BPRS, SDSS, SCL-90 scales. Re-sults①The differences of BPRS total scores and each component scores between the two groups when hospital admis-sion and 2 weeks after hospital were not statistically significant （P〉 0.05）. The scores of anxiety-depression, lack of vitality, disturbance of thought, hostile suspicion, total points in observation group 8 weeks after hospital were all lower than those in control group, the differences were statistically significant （t = 6.88, 6.97, 8.27, 7.39, P〈 0.01）. ②The differences of SDSS scale scores between the two groups when hospital admission and 2 weeks after hospital were not statistically significant （P 〉 0.05）. The SDSS scale scores in observation group 8 weeks after hospital were all lower than those in control group, the differences were statistically significant （P〈0.05）.③The SCL-90 scores of somatization, compulsivity, interpersonal relationship, depression, anxiety, paranoid factor in observation group 8 weeks after hospital were all lower than those in control group, the differences were statistically significant （P〈 0.05）. Conclusion Human-ized nursing management measures can improve the illness state of schizophrenia, it is worthy of clinical application.