首发精神分裂症患者阶段性健康教育的效果分析

Effect analysis of staged health education in patients with first-onset schizophrenia

目的探讨阶段性健康教育对首发精神分裂症患者及其家属的护理干预效果。方法 82例首次发病精神分裂症患者随机分为对照组(n=41)和观察组(n=41),对照组采用常规健康教育模式,观察组采用阶段性健康教育,干预前后均采用住院患者观察量表(NOSIE)、简明精神病量表(BPRS)、自知力与治疗态度问卷(ITAQ)及服药依从性问卷评价干预效果。结果护理干预后2组BPRS评分比较差异无统计学意义(P>0.05),而观察组NOSIE、ITAQ评分和服药依从性均明显优于对照组(P<0.05)。结论对首发精神分裂症患者及其家属采用阶段性健康教育可增加服药依从性,有助于患者康复。

Objective To investigate the effect of nursing intervention of staged health education on patients with firstonset schizophrenia and their family members.Methods Eigity-two patients with first-onset schizophrenia were randomly divided into control group（n=41）and observation group（n=41）,the control group was given conventional health education model,and observation group was given staged health education.The intervention effects were assessed by Nursing Observation Scale for Inpatient Evaluation（NOISIE）,Brief Psychiatric Rating Scale（BPRS）,Insight Treatment Attitude Questionnaire（ITAQ）and drug therapy compliance questionnaire between the two groups.Results It was found that the scores of BPRS after nursing intervention in the two groups didn′t show significant difference（P〈0.05）.The scores of NOISIE and ITAQ and drug therapy compliance in observation group were obviously better than those in control group（P〈0.05）.Conclusion The staged health education in patients with first-onset schizophrenia can improve drug therapy compliance,which is beneficial to recovery.