个体化言语护理在接诊流浪精神病患者中的应用

Application of individualized language nursing in homeless psychiatric patients

目的:探讨个体化言语护理在接诊不同流浪精神病患者护理中的应用。方法选取2013年4月~2015年12月我院收治的流浪精神病患者500例作为研究对象,采用随机数表法将其等分为观察组和对照组,对照组给予常规护理,观察组在此基础上实施个体化言语护理,干预2个月后应用简明精神病量表(BPRS)、阳性和阴性综合征量表(PANSS)分析两组患者精神障碍及生活质量改善情况;采用日常护士住院患者观察量表(NOSIE)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评价两组社会适应能力、社会兴趣及情绪改善情况。结果:观察组干预后BPRS评分、PANSS阳性症状评分及阴性症状评分均低于对照组(P<0.05);观察组NOSIE社会适应能力、社会兴趣因子评分均高于对照组,而其SAS评分、SDS评分低于对照组,差异均有统计学意义(P<0.05)。结论:个体化言语护理可明显改善流浪精神病患者精神症状,同时促进患者社会功能及社会兴趣恢复,值得临床推广应用。

Objective：To explore the application of individualized language nursing in different homeless psychiatric patients.Methods：A total of 500 homeless psychiatric patients admitted in our hospital from April 2013 to December 2015 were selected and were randomly divided into observation group and control group with the random number table method.The control group was given routine care.The observation group was treated with individualized language nursing on the basis of routine nursing.After 2 months of intervention,Brief Psychiatric Rating Scale（ BPRS） and Positive and Negative Syndrome Scale（ PANSS） were used to analyze the mental disorders and quality of life of the two groups.Nurses＇ Observation Scale for Inpatient Evaluation（ NOSIE）,anxiety self-rating scale（ SAS） and self-rating depression scale（ SDS） were used to evaluate the social adaptability,social interest and mood improvement of the patients in the two groups.Results：The scores of BPRS,PANSS positive and negative symptoms were lower in the observation group than in the control group（ P〈0.05）.The scores of NOSIE social adaptability and social interest were higher in the observation group than in the control group and the SAS score and SDS score were lower than those in the control group.The difference was statistically significant（ P〈0.05）.Conclusion：Individualized language nursing can significantly improve the psychiatric symptoms of homeless psychiatric patients and promote the recovery of social function and social interest of patients.It is worthy of clinical application.