对精神分裂症患者实施人性化护理干预的效果评价

Effect of humanized nursing intervention on patients with schizophrenia

目的评价对精神分裂症患者实施人性化护理干预的护理效果。方法选取我院2012年1月～2014年1月收治的精神分裂症患者60例，入选患者采用随机数字表法随机分为干预组和对照组，各30例，对照组予常规护理．干预组在对照组基础上采用人性化护理，比较两组入院时、入院后30d、入院后60d的BPRS各项评分以及两组PANSS总分及各因子评分。结果入院后30d及入院后60d，干预组与对照组患者BPRS的情绪障碍、活动障碍、思维障碍、激活性、敌对性各项评分分别较入院时显著降低，差异有统计学意义（P〈0．05）。且干预组患者入院后60dBPRS的情绪障碍、活动障碍、思维障碍、激活性、敌对性各项评分分别与对照组比较，差异有统计学意义（P〈0．05）。干预组与对照组患者入院后30d、入院后60d的PANSS总分及阳性症状、阴性症状、精神病理各项评分分别较入院时显著降低，且干预组患者入院后60d的PANSS总分及阳性症状、阴性症状、精神病理各项评分显著低于对照组，差异有统计学意义（P〈0．05）。结论对精神分裂症患者实施人性化护理干预，有助于改善精神分裂症患者临床症状，减少心理压力，护理效果显著。

Objective To evaluate the effect of nursing intervention in patients with schizophrenia. Methods From Jan- uary 2012 to January 2014, 60 patients with schizophrenia were randomly divided into intervention group （30 patients） and control group （30 patients） according to the random number table. The control group received routine nursing, the intervention group received humanized nursing on based of the the control group, after admission 30 clays,60 days, BPRS score and PANSS total score and each score were compared between two groups. Results After admission 30 days,60 days, intervention group and control group patients with BPRS mood disorders, movement disorder, thought disorder, activation, hostile to the scores significantly decreased, the difference was statistically significant （P〈0.05）. And the intervention group patients admitted to the hospital after 60 days of BPRS mood disorders, movement disorder, thought disorder, activation, hostile to the scores were compared with the control group,the difference was statistically significant（P〈0.05）. Intervention group and the control group of patients admitted to hospital after 30 days, admission after 60 days of PANSS total scores and positive symptom, negative symptom and the spirit of the pathological score re- spectively on admission were decreased significantly, and intervention group of patients admitted to hospital after 60 days of PANSS total score and positive symptoms, negative symptom and the spirit of the pathological score was signifi- cantly lower than that of the control group, the difference was statistically significant （P〈0.05）. Conclusion The imple- mentation of humanized nursing intervention in patients with schizophrenia can improve the clinical symptoms, reduce the psychological pressure, and the effect is significant.