护理干预对康复期精神分裂症患者生活质量及社会功能的影响

Effect of Nursing Intervention on Life Quality and Social Function of Patients with Schizophrenia in Rehabilitation Period

目的分析综合护理干预对康复期精神分裂症患者社会功能及生活质量的影响。方法利用随机数表法,方便选取2016年1月—2017年12月该院收治的住院精神分裂症患者74例分为两组,每组37例,在服用抗精神病药物的基础上,观察组采取综合护理干预,对照组给予常规护理,在护理前1 d、护理1个月后分别采用精神患者社会功能评定量表(SSFPI)、精神病分裂症患者生活质量量表(SQLS)对两组患者进行调查、评估,对比护理前后两组患者生活质量及社会功能的改善水平。结果与护理前相比,护理后,观察组的SSFPI评分增至(36.41±2.42)分,明显高于对照组(28.88±2.18)分,差异有统计学意义(t=14.062,P=0.000);护理后,观察组的SQLS评分降至(28.42±3.06)分,明显低于对照组(35.68±3.24)分,差异有统计学意义(t=-9.909,P=0.000),观察组上述两个指标的改善水平均明显优于对照组。结论实施综合性护理干预,有助于促进精神分裂症患者康复期社会功能及生活质量的提高,值得临床实践。

Objective To analyze the effect of comprehensive nursing intervention on the social function and quality of life in schizophrenia patients during rehabilitation. Methods 74 cases of in-hospital schizophrenic patients admitted to the hospital from January 2016 to December 2017 were convenient selected and divided into two groups using random number table method, and 37 cases in each group. On the basis of taking antipsychotic drugs, the observation group adopted comprehensive nursing intervention. The control group was given routine nursing care. The mental patient social function rating scale（SSFPI） and the psychiatric schizophrenic patient quality of life scale（SQLS） were used for the two groups of patients1 day before and 1 month after nursing. To investigate and evaluate the quality of life and social function of the two groups before and after nursing. Results Compared with pre-care, after nursing, the SSFPI score of the observation group increased to（36.41±2.42） points, which was significantly higher than the control group（28.88±2.18） points, the differenct was stistically significant（t=14.062, P=0.000）; After nursing, the observation group＇s SQLS score decreased to（28.42±3.06） points,which was significantly lower than that of the control group（35.68±3.24） points, the differenct was stistically significant（t=-9.909, P=0.000）. The improvement of the indicators was significantly better than that of the control group. Conclusion The implementation of comprehensive nursing intervention can help to promote the improvement of social function and quality of life of schizophrenia patients in the recovery period and is worthy of clinical practice.