早期干预对精神分裂症住院患者康复影响的研究

Study on early intervention to rehabilitation of schizophrenic inpatients

目的研究早期干预对精神分裂症住院患者康复影响。方法此次研究纳入的对象来源于2013年1月~2015年5月我院收治精神分裂症住院患者中随机抽取的83例。将上述83例精神分裂症住院患者随机分为常规护理组41例和早期干预组42例。常规护理组采取常规康复护理,早期干预组进行早期康复护理。比较（1）精神分裂症康复效果;（2）出院时间、住院费用;（3）干预前和干预后患者精神分裂症临床症状评分、治疗依从性评分的差异。结果 （1）早期干预组较之常规护理组精神分裂症康复效果更高（P〈0.05）;（2）早期干预组较之常规护理组出院时间更早,住院费用更少（P〈0.05）;（3）干预前两组精神分裂症临床症状评分、治疗依从性评分相似（P〉0.05）;干预后早期干预组较之常规护理组精神分裂症临床症状评分、治疗依从性评分改善更显著（P〈0.05）。结论早期干预对精神分裂症住院患者康复影响大,可有效提高患者治疗依从性,促进患者自理能力的提高,减轻精神病症状,缩短住院时间,减轻医疗负担,值得推广。

Objective To study the effect of early intervention to rehabilitation of schizophrenic inpatients.Methods 83 cases of schizophrenic inpatients cured in our hospital from January 2013 to May 2015 were randomly selected as the study objects. They were randomly divided into routine nursing group of 41 cases and early intervention group of 42 cases. Patients in routine nursing group were treated with routine nursing, and patients in early intervention group were treated with early rehabilitation nursing. Schizophrenia rehabilitation effect, discharge time and hospitalization expenses, difference of clinical symptom score and treatment compliance score between patients before and after intervention of the two groups were compared. Results（1） The schizophrenia rehabilitation effect of early intervention group was higher than that of routine nursing group（P〈0.05）.（2） discharge time of early intervention group was earlier than that of routine nursing group, and the hospitalization costs was less（P〈0.05）.（3） The scores of clinical symptoms and treatment compliance of the two groups before the intervention were similar（P〉0.05）. After intervention, the early intervention group compared with the routine care group schizophrenia clinical symptoms score, treatment compliance score were improved significantly（P〈0.05）. Conclusion Early intervention has great effect on rehabilitation of schizophrenic inpatients. It can effectively improve the treatment compliance of patients, promote the self-care ability of patients, reduce psychiatric symptoms, shorten hospitalization time, and reduce medical burden. It is worth promoting.