循证护理对精神分裂症患者社会功能康复、生活质量的影响

Effect of evidence- based nursing on rehabilitation of social function and quality of life of patients with schizophrenia

目的:探讨精神分裂症患者进行循证护理对其生活质量、社会功能康复的影响。方法:将100例慢性精神分裂症患者根据随机数字表法分为对照组和观察组各50例,观察组行循证护理,对照组行常规护理模式。比较两组护理后的自知力与治疗态度问卷(ITAQ)、家庭负担会谈量表(FIS)、简明精神病量表(BPRS)、社会功能缺陷筛选量表(SDSS)评分;比较两组护理前后的阳性和阴性症状量表(PANSS)评分、康复状态量表(MRSS)评分情况;比较两组护理前后的日常生活能力评分、社会适应功能评分、社交技能评分情况;应用威斯康星卡片分类测验(WCST)评估两组护理后的认知功能。结果:观察组护理后,ITAQ、FIS、BPRS、SDS评分均优于对照组(P<0.01);两组护理后PANSS评分、MRSS评分情况均有改善,但观察组护理后PANSS评分、MRSS评分情况优于对照组(P<0.01,P<0.05);两组护理后的日常生活能力评分、社会适应功能评分、社交技能评分均有改善,但观察组护理后的日常生活能力评分、社会适应功能评分、社交技能评分优于对照组(P<0.01);观察组护理后WCST认知功能各项指标优于对照组(P<0.01)。结论:精神分裂症患者进行循证护理,促使患者认知功能康复迅速,促进患者身心早日康复,提高生活质量,改善社会功能。

Objective： To explore the effect of evidence- based nursing on the quality of life and the rehabilitation of social function in patients with schizophrenia. Methods： 100 patients with chronic schizophrenia were randomly divided into the control group and the observation group（ 50 cases in each group）. The evidence- based nursing was implemented in the observation group and the routine nursing care was given to the patients in the control group. The scores of the insight and ITAQ,FIS and BPRS were compared between the two groups after nursing care; the scores of SDSS,PANSS and MRSS were compared between the two groups before and after nursing care; the scores of ADL,social adaptation function and social skills were compared between the two groups before and after nursing care; WCST was used to assess the cognitive function of the patients in the two groups after nursing care. Results： The scores of ITAQ,FIS,BPRS and SDS were superior in the observation group to the control group（ P〈 0. 05）; the scores of PANSS and MRSS showed improvement in the two groups after nursing care,but the scores of PANSS and MRSS were superior in the observation group to the control group after nursing care（ P〈 0. 05）; the scores of ADL,social adaptation function and social skills were superior in the observation group to the control group after nursing care（ P〈 0. 05）; all indices of cognitive function of WCST were better in the observation group than the control group after nursing care（ P〈 0. 05）. Conclusion： Implementation of evidence- based nursing can promote the rapid rehabilitation of cognitive function of patients with schizophrenia and improve their quality of life as well.