氯氮平治疗和康复护理对精神分裂症患者社会功能缺陷的效果

Effect of clozapine treatment and rehabilitation nursing on social dysfunction of schizophrenia

目的分析氯氮平治疗和康复护理对精神分裂症患者社会功能缺陷的效果。方法选取浙江省立同德医院收治的88例精神分裂症患者为研究对象。对照组给予氯氮平治疗,初始剂量为50 mg,1次/d。实验组在此基础上给予相应的康复护理措施,做好健康教育工作,建立和谐医患关系,根据患者实际情况给予心理疏导措施,关注患者情绪变化,鼓励患者进行手工劳动和康复活动。结果进行治疗前,实验组与对照组患者社会功能缺陷筛选量表评分分别为（6.89±1.65）分与（6.57±1.63）分,2组差异不具有统计学意义（P〈0.05）。治疗后,实验组缺陷评分为（4.32±1.10）分,显著低于对照组量表评分（5.67±1.37）分,2组差异具有统计学意义（P〈0.05）。结论氯氮平治疗联合康复护理应用于精神分裂症社会功能缺陷治疗中,临床疗效理想,能够显著改善患者社会功能缺陷。

Objective To study and analyze the effect of clozapine treatment and rehabilitation nursing on social dysfunction of schizophrenia.Methods 88 patients with schizophrenia in Tongde Hospital were selected as the subjects.The control group was treated with clozapine,with an initial dose of 50 mg,once a day.On the basis of the experimental group received rehabilitation nursing measures,health education,establishing harmonious doctor-patient relationship,according to the actual situation of patients received psychological counseling measures,pay attention to patients with mood changes,the patients were encouraged to manual labor and rehabilitation activities.Results Before treatment,the scores of social function disability screening scale of the experimental group and the control group were（6.89±1.65） points and（6.57±1.63） points,and the difference between the two groups was not statistically significant.After treatment,the defect score of the experimental group was（4.32 ±1.10）,significantly lower than the control group,the scale score was（5.67±1.37）,and the difference between the two groups was statistically significant（P〈0.05）.Conclusion Clozapine combined with rehabilitation nursing in the treatment of schizophrenia social function defects,the clinical efficacy is ideal,can significantly improve the social function defects of patients,and has clinical significance.