基于量化评估策略下的个性护理干预在青少年首发精神分裂症中的应用研究

Application study of personalized care interventions based on quantitative assessment policy in children and adolescents with first schizophrenia

目的研究基于量化评估策略下的个性护理干预在青少年首发精神分裂症中的应用价值。方法选择2012年5月-2014年12月我院收治的80例青少年精神分裂症患者作为研究对象,采用随机数字表法分为观察组和对照组,各40例,观察组接受基于量化评估策略下的个性护理干预;对照组患者接受常规护理干预。比较两组患者的治疗依从性、病理症状严重程度[采用阳性和阴性症状量表(PANSS)评估]、生活质量(采用生活质量综合评定问卷测评)。结果依从性:观察组依从率(90.0%)明显高于对照组(72.5%)(P<0.05);病理症状严重程度:观察组PANSS总分、阳性症状评分、阴性症状评分、一般精神病理症状评分明显低于对照组(P<0.05);生活质量:观察组物质生活、躯体健康、心理健康、社会功能等评分明显高于对照组(P<0.05)。结论基于量化评估策略下的个性护理干预有助于提高青少年治疗依从性,改善精神症状,提高生活质量。

Objective To study the application value of personalized care interventions based on quantitative assessment policy in adolescents with first schizophrenia.Methods 80 cases of schizophrenia in adolescents in our hospital from May 2012 to December 2014 were enrolled in the study and randomly divided into observation group and control group.Patients in observation group received personalized care interventions based on quantitative assessment policy,patients in control was received usual care intervention.Then therapy compliance,pathological symptom severity,life quality was compared between the two groups.Results Compliance：observation group compliance rate 90.0% was significantly higher than that of control group 72.5%（P〈0.05）;Pathological symptom severity：observation group PANSS,positive symptom scores,negative symptom scores,general mental pathological symptom scores were significantly lower than the control group（P〈0.05）;Life quality：observation group material life,body health,mental health,social function score were significantly higher than the control group（P〈0.05）.Conclusion Personalized care interventions based on quantitative assessment policy can improve treatment compliance,then improve psychotic symptoms and life quality.