综合护理干预对慢性精神分裂症患者认知功能的影响研究

Influence of integrated nursing intervention on cognitive function in patients with chronic schizophrenia

目的探讨综合护理干预对慢性精神分裂症患者认知功能的影响。方法选取2016年12月~2017年12月在我院住院治疗的慢性精神分裂症患者64例。符合CCMD-3慢性精神分裂症的诊断标准,两组均予常规精神药物治疗。对照组采用一般护理措施,根据医嘱按时发药等常规护理,干预组患者在对照组的基础上实施综合性护理干预,比较两组患者干预前后的WMS-RC总分及SSPI各项评分的变化情况。结果干预后,干预组与对照组患者的WMS-RC总分及SSPI各项评分较干预前明显提高,且干预组患者的WMS-RC总分及SSPI各项评分显著高于对照组,差异有统计学意义(P<0.05)。结论对慢性精神分裂症患者在积极应用药物治疗的同时实施综合性护理干预措施,有利于改善患者的认知功能,从而促进疾病的康复及促进患者早日回归社会。

Objective To investigate the influence of integrated nursing intervention on cognitive function in patients with chronic schizophrenia. Methods 64 patients with chronic schizophrenia in our hospital from December, 2016 to December, 2017 were selected. All the patients met the diagnostic criteria of CCMD-3 chronic schizophrenia. Patients in two groups were treated with routine psychotropic medication. Patients in control group received general nursing care and routine nursing care including giving prescribed medicine on time. Patients in intervention group were treated with integrated nursing intervention in addition. The total score of WMS-RC and score of every term in SSPI before and after intervention in two groups were compared. Results The total score of WMS-RC and score of every term in SSPI after intervention in two groups increased compared with those before intervention, and the total score of WMS-RC and score of every term in SSPI in intervention group were significantly higher than those in control group（P〈0.05）. Conclusion Integrated nursing intervention along with active application of medication in patients with chronic schizophrenia could improve the cognitive function of patients so as to promote the recovery and the early return to society.