个性化延续护理对康复出院精神分裂症患者觉察压力与复发的影响

Effects of individualized continuous nursing on perceived stress and recurrence of discharged patients with convalescent schizophrenia

目的:探讨个性化延续护理对康复出院的精神分裂症患者觉察压力与复发的影响。方法:选取300例康复出院的精神分裂症患者,采用随机数字表法将其分为对照组和观察组,每组150例。对照组实施出院常规护理,观察组实施个性化延续护理。比较两组觉察压力量表、社会支持评定量表评分以及两组复发率。结果:出院当天两组觉察压力评分比较,差异无统计学意义(P>0.05)。出院后第6个月末、12个月末,观察组的觉察压力评分低于对照组,差异有统计学意义(P<0.05);观察组复发率低于对照组,差异有统计学意义(P<0.05);观察组的主观支持评分、客观支持评分、对支持的利用度评分和总分均高于对照组,差异有统计学意义(P<0.05)。结论:对出院患者实施个性化延续护理,培养其面对压力的积极应对方式,可降低觉察压力,减少疾病复发。

Objective:To investigate effects of individualized continuous nursing on perceived stress and recurrence of discharged patients with convalescent schizophrenia.Methods:300 discharged patients with schizophrenia were chosen and divided into control group and observed group according to the random number table method,150 cases in each group.The control group was treated with routine nursing care,while the observed group was treated with the individualized continuous nursing.The scores of the perceived stress scale and the social support rating scale and recurrence rates of the two groups were compared.Results:There was no significant difference in the perceived stress scores on the day of discharge between the two groups(P>0.05).At the end of the 6th month and the end of 12 months after discharge,the perceived stress scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The recurrence rate of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The subjective support score,objective support score,support utilization score and total score of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusions:Implementing individualized continuous nursing for the discharged patients could cultivate their positive coping styles to the stress.Moreover,it can reduce the perceived stress and the disease recurrence rate.