系统化护理对老年精神分裂症生活质量的影响

The Effect of Systematic Nursing on the Quality of Life of Elderly Patients with Schizophrenia

目的评价系统化护理对住院老年精神分裂症患者生活质量的影响。方法依照病历号随机抽取我院2017年1月—2018年1月收治的100例老年精神分裂症康复期患者,采用随机数字表法分为观察组和对照组,每组50例。对照组给予精神科常规护理,观察组给予系统化整体护理。于6个月后采用护理观察量表(NOSIE)、生活质量量表(SQLS)及日常生活能力量表(ADL)评定两组的情况。结果护理后,观察组NOSIE评分及ADL评分均低于对照组(P<0.05),观察组生活质量评分在社会心理、症状和不良反应以及动力与精力三个方面均低于对照组(P<0.05)。结论精神科系统化整体护理对康复期分裂症患者有良好的护理效果,能够有效提高其日常生活能力,改善生活质量。

Objective To evaluate the effect of systematic holistic nursing on the quality of life of hospitalized elderly patients with schizophrenia. Methods According to the medical record number, 100 elderly patients with schizophrenia who were admitted to our hospital from January 2017 to January 2018 were randomly selected and divided into observation group and control group by random number table method, with 50 cases in each group. The control group was given psychiatric routine care, and the observation group was given systemic overall care. Six months later, the status of the two groups was assessed using the Nursing Observation Scale（NOSIE）, the Quality of Life Scale（SQLS）, and the ADL. Results After nursing, the NOSIE scores and ADL scores in the observation group were significantly lower than those in the control group（P 〈 0.05）. The quality of life scores in the observation group were significantly lower than those in the control group in terms of social psychology, symptoms, adverse reactions, and motivation and energy（P 〈 0.05）. Conclusion Systematized holistic nursing in psychiatry has good nursing effect on patients with schizophrenia during convalescence, which can effectively improve their ability of daily life and improve the quality of life, and has certain clinical promotion value.