护理干预应用于紧张型精神分裂症木僵状态患者的效果及预后影响分析

Effect and prognosis of nursing intervention on patients with stress type schizophrenia with stupor

目的探讨护理干预应用于紧张型精神分裂症木僵状态患者的效果及预后影响。方法选择我院2016年1月~2017年1月接诊的80例紧张型精神分裂症木僵状态患者作为本次研究的对象,按随机数字组表法,将患者分为两个组,即观察组和对照组,观察组患者40例,在常规护理的基础上实行一定的护理干预,对照组患者40例,实行常规护理。通过护理治疗后,比较分析两组患者在依从性、复发性、阳性和阴性症状量表评分、生活质量测定量表以及患者对护理的满意度情况。结果观察组的依从率为67.5%,复发率为20%,对照组的分别为40%、47.5%,差异有统计学意义(P<0.05),观察组的依从性明显高于对照组,两组干预后与干预前比较差异显著;观察组阳性、阴性症状以及总分评分显著低于对照组,差异有统计学意义(P<0.05);观察组在心理、物质、社会和精神领域这4个方面以及总分评分均高于对照组,差异有统计学意义(P<0.05);观察组总满意率为97.5%,对照组为77.5%,观察组明显高于对照组,差异有统计学意义(P<0.05)。结论紧张型精神分裂症木僵状态患者,在常规护理上实行护理干预,应用的效果显著,不仅能提高患者依从性,降低其复发率,还能提高患者生活质量和护理满意程度。

Objective To investigate the effect and prognosis of nursing intervention on patients with stress type schizophrenia with stupor. Methods From January 2016 and January 2017, 80 cases of stupor state stress type schizophrenia patients were selected as the research object, according to the method of random numbers, all the patients were divided into two groups, the observation group and control group, 40 patients in each group, observation group was given nursing intervention on the basis of conventional nursing practice, the control group was given the routine nursing care. After nursing treatment, the compliance, recurrence, positive and negative symptom scale score, quality of life measurement scale and patients＇ satisfaction with nursing of the two groups were compared and analyzed. Results The compliance rate of the observation group was 67.5%, the recurrence rate was 20% and the control group was 40% and 47.5% respectively, the difference was statistically significant（P 〈0.05）. The compliance of the observation group was significantly higher than that of the control group, there was significant difference between the two groups after intervention and before intervention. The positive, negative symptoms and total scores of the observation group were significantly lower than those of the control group（P 〈0.05）. The psychological, physical, social and spiritual fields of observation group were significantly higher than those of the control group （P 〈0.05）. The total satisfaction rate of the observation group was 97.5% and that of the control group was 77.5%, the observation group was significantly higher than control group, with statistical significance（P 〈0.05）. Conclusion The effect of nursing intervention on patients with stress type schizophrenia in conventional nursing care is remarkable. It can not only improve patient compliance, reduce the recurrence rate, but also improve the quality of life and nursing satisfaction.