个性化护理对无抽搐电休克治疗精神分裂症患者的效果

Effect of Personalized Nursing on Patients with Schizophrenia without Convulsion Electroconvulsive Therapy

目的探讨个性化护理对无抽搐电休克治疗(MECT)精神分裂症患者的效果。方法选择该院2018年1—12月收治精神分裂症患者112例,按住院号单、双分为观察组和对照组,各56例,对照组给予无抽搐电休克治疗常规护理,观察组在无抽搐电休克治疗常规护理的基础上给予个性化护理服务,比较两组患者的临床治疗效果及满意度。结果观察组观察组患者威斯康星卡片试验(Wsiconsin card sorting test,WCST)完成时间、总应答数、错误应答数分别为(9.5±6.8)min、(100.5±11.7)个、(31.6±15.1)个,均明显低于对照组的( 14.7±7.7 )min、(110.8±12.3)、(43.1±16.2)个,差异有统计学意义(P<0.05);观察组患者治疗6周后的阳性和阴性症状量表评分表(PANSS)总分和一般精神病理分分别为(36.5±4.7)分、(17.6±3.1)分,均低于对照组的(43.6±7.6)分、(19.9±3.8)分,差异有统计学意义(P<0.05);观察组患者医疗护理工作满意度为98.2%,明显高于对照组87.5%,差异有统计学意义(P<0.05)。结论实施个性化护理服务对无抽搐电休克治疗(MECT)精神分裂症患者,能有效提高临床治疗效果,提高对医疗护理工作满意度,提高患者生活质量。

Objective To investigate the effect of personalized nursing on patients with schizophrenia without convulsion electroconvulsive therapy (MECT).Methods A total of 112 patients with schizophrenia were enrolled in our hospital from January to December 2018.According to the hospitalization list and the double control group,56 patients were in the observation group and the control group.The control group received routine care without convulsion electroconvulsive therapy.Personalized nursing services were provided on the basis of routine care without convulsion electroconvulsive therapy,and the clinical treatment effects and satisfaction of the two groups were compared.Results The completion time,total response number,and number of false responses of the Wisconsin card sorting test (WCST) in the observation group were (9.5±6.8) min,(100.5±11.7),and (31.6±15.1),respectively,significantly lower than the control group (14.7±7.7)min,(110.8±12.3),(43.1±16.2),the difference was statistically significant (P<0.05);the observation group patients after 6 weeks of treatment total scores of positive and negative symptom scales (PANSS) and general psychopathological scores were (36.5±4.7)points and (17.6±3.1)points,respectively,which were lower than those of the control group (43.6±7.6)points,(19.9±3.8)points.The differences were statistically significant (P<0.05).The satisfaction of medical care work in the observation group was 98.2%,which was significantly higher than that in the control group (87.5%).The difference was statistically significant (P<0.05).Conclusion The implementation of personalized nursing services for patients with schizophrenia without electroconvulsive therapy (MECT) can effectively improve the clinical treatment effect,improve the satisfaction of medical care work,and improve the quality of life of patients.