医院家庭一体化管理模式在恢复期精神病病人中的应用

Application of hospital-family integration management model in convalescent psychiatric patients

[目的]探讨医院家庭一体化管理模式应用于恢复期精神病的临床效果。[方法]选取2014年12月—2015年12月我院收治的住院恢复期精神病病人46例作为对照组,行常规护理管理;再选取2016年1月—2017年1月我院收治的住院恢复期精神病病人46例作为观察组,行医院家庭一体化管理模式。观察并记录两组护理前后康复效果、临床症状改善情况和自护能力情况,进行对比分析。[结果]观察组护理后3个月社交能力、工疗能力、生活能力、关心和兴趣、卫生状况评分均低于对照组,差异有统计学意义(P<0.05);观察组护理后3个月社会能力、社会兴趣、个人卫生评分高于对照组,退缩、抑郁、激惹和精神症状评分低于对照组,差异有统计学意义(P<0.05);观察组护理后3个月日常生活能力评分高于对照组,差异有统计学意义(P<0.05)。[结论]医院家庭一体化管理模式应用于恢复期精神病病人可提高其社交能力和社会功能,减轻临床症状,改善日常生活能力。

Objective：To probe into explore the clinical effect of hospital-family integration management model in convalescent psychosis patients.Methods：A total of 46 cases of convalescent psychosis patients admitting to our hospital from December 2014 to December 2015 were selected as the control group.Routine nursing management was performed.Another 46 cases of convalescent psychiatric patients admitting from January 2016 to January 2017 were selected as the observation group,which were treated with the hospitalfamily integration management model.The rehabilitation effect,improvement of clinical symptoms,social function,and self-care ability of the two groups before and after nursing were observed and recorded,and the comparative analysis was carried out.Results：The scores of social skills,physiology,living ability,concern and interest,and health status of the patients in observation group were significantly lower than those in control group at 3 months after treatment.The difference was statistically significant（P0.05）.At 3 months after treatment,the scores of social competence,social interests and personal hygiene were significantly lower than those in control group（P0.05）;and the scores of retreat,depression and irritation in psychiatric symptoms were lower than those in control group（P0.05）;the scores of daily living ability of patients the observation group were significantly higher than those in control group（P0.05）.Conclusions：Hospital-family integration management modelapplied in convalescent psychiatric patients could improve their social ability and social functions,reduce clinical symptoms and improve their daily living ability.