综合心理护理干预在强制医疗精神障碍患者中的应用效果

Application effect of comprehensive psychological nursing intervention on patients with mental disorders in compulsory medical treatment

目的探讨综合心理护理干预在强制医疗精神障碍患者中的干预效果。方法选取2014年1月～2017年1月广州市强制医疗所住院的100例精神障碍患者作为研究对象,按照入所顺序分为观察组和对照组,每组各50例。对照组给予常规药物对症治疗及健康宣教,观察组在对照组护理基础上根据患者的心理、经济、知识水平等进行针对性的综合心理护理干预。采用Krawiecka症状量表、SCL-90症状自评量表、SF-36量表对两组患者的精神症状、心理、生活质量进行测评,观察两组的护理干预效果。结果两组患者干预后的Krawiecka评分均明显低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);两组患者干预前的SCL-90各因子比较,差异无统计学意义(P>0.05);干预后,观察组的SCL-90各因子评分均低于对照组,差异有统计学意义(P<0.05);观察组SF-36量表各项评分均高于对照组,差异有统计学意义(P<0.05)。结论通过有效而全面的综合心理护理干预,能够帮助患者摆脱肇事肇祸时的负疚感,减轻不良情绪,有助于病情的康复。

Objective To explore the effect of comprehensive psychological nursing intervention on patients with mental disorders in compulsory medical treatment. Methods A total of 100 patients with mental disorders hospitalized in Guangzhou compulsory medical institute from January 2014 to January 2017 were selected as the research subjects, and divided into the observation group and the control group according to the order of admission, with 50 cases in each group. The control group was given conventional medicine for symptomatic treatment and health education, and the observation group was given comprehensive psychological nursing intervention in psychologica, economic and knowledge level on basis of the patients in the control group. The mental symptoms, psychological and quality of life of the two groups were evaluated by Krawiecka symptom scale, SCL-90 symptom checklist and SF-36 scale, and the effects of nursing intervention were observed. Results The Krawiecka scores of the two groups after intervention were significantly lower than those before intervention, and those in the observation group were lower than those in the control group, the differences were statistically significant (P<0.05). The difference of the factors of SCL-90 before nursing intervention in the two groups was not statistically significant (P>0.05). The factors of the SCL-90 in the observation group were significantly lower than those in the control group after intervention, and the differences were statistically significant (P<0.05). The scores in the SF-36 scale of the observation group were significantly higher than those in the control group, and the differences were statistically significant (P<0.05). Conclusion The effective and comprehensive comprehensive psychological nursing intervention can help the patients get rid of the guilt, reduce the bad mood and help the recovery of the disease.