个案护理管理联合棕榈酸帕利哌酮治疗精神分裂症患者的临床效果

Clinical effects of case care management combined with Paliperidone palmitate in treatment of patients with schizophrenia treated

目的分析个案护理管理联合棕榈酸帕利哌酮治疗精神分裂症患者的临床效果。方法选取湖州第三人民医院收治的90例精神分裂症患者为研究对象。实验组与对照组患者均进行棕榈酸帕利哌酮治疗,治疗时间均为12个月。对照组给予常规的护理措施,实验组进行个案护理管理措施,做好健康教育工作,让患者接受专业的心理咨询,密切关注患者临床症状,举办讲座,鼓励患者接触社会,定期分析问题。比较分析实验组与对照组患者的PANSS评分与MARS评分等临床指标。结果治疗后,实验组用药依从性评分为（7.32±0.34）分,显著高于对照组的（5.12±0.23）分,差异具有统计学意义（P〈0.05）。对照组PANSS评分为（42.90±3.87）分,实验组PANSS评分为（36.78±3.32）分,2组差异具有统计学意义（P〈0.05）。结论个案护理管理与棕榈酸帕利哌酮联合治疗精神分裂症患者的临床疗效较为理想,能够显著改善患者相关临床症状,帮助患者恢复健康。

Objective To study and analyze the clinical effect of case care management in patients with schizophrenia treated with Paliperidone palmitate.Methods 90 patients with schizophrenia in the third People＇s hospital of Huzhou were selected as the subjects.The patients in the experimental group and the control group were treated with Paliperidone palmitate for 12 months.The control group was given routine nursing,the experimental group was given case nursing management,health education,professional psychological counseling,paying close attention to the clinical symptoms of patients,seminars,encouraging patients to contact the society,regular analysis of problems.PANSS score and MARS score and other clinical indicators of the experimental group and the control group of patients were compared and analyzed.Results After treatment,the medication compliance score of the experimental group was（7.32±0.34） points,significantly higher than that（5.12±0.23） points of the control group with statistical significance（P〈0.05）.The score of PANSS in the control group was（42.90±3.87） points,and the score of PANSS in the experimental group was（36.78±3.32） points,and the difference between the two groups was statistically significant（P〈0.05）.Conclusion nursing case management plus Paliperidone palmitate treatment in patients with schizophrenia has good clinical curative effect,could significantly improve the clinical symptoms of patients,help patients recovery,has clinical application significance.