时间护理对精神分裂症患者危险行为及精神症状的影响

Effects of time-based nursing on dangerous behaviors and psychiatric symptoms among schizophrenic patients

目的:分析以时间护理为基础的综合护理干预模式对精神分裂患者危险行为及精神症状的影响。方法:于2018年4月—2019年1月选取我院收治的128例精神分裂症患者进行研究,按照随机数字表法分为观察组与对照组,各64例。两组患者均实施常规护理,在此基础上,观察组实施以时间护理为基础的综合护理干预模式,比较两组患者的危险行为发生情况、精神症状及认知功能。结果:干预前,两组患者的危险行为发生情况、阳性和阴性症状量表评分表(PANSS)评分、蒙特利尔认知评估量表(MoCA)评分比较,差异无统计学意义(P>0.05);干预后,观察组的危险行为发生情况、PANSS评分、MoCA评分均优于对照组,差异有统计学意义(P<0.01)。结论:以时间护理为基础的综合护理干预模式能够降低精神分裂患者危险行为发生风险,改善其精神症状及认知功能,临床推广价值高。

Objective:To explore the effect of comprehensive nursing intervention based on time nursing on dangerous behaviors and psychiatric symptoms of schizophrenic patients.Methods:From April 2018 to January 2019,we selected 128 schizophrenic patients admitted to our hospital for research.All patients were divided into observation group and control group with the random number table,64 cases in each group.Patients of both groups were given routine nursing.On this basis,observation group implemented the comprehensive nursing intervention model based on time nursing.We compared the occurrence of dangerous behaviors,mental symptoms and cognitive function of patients between two groups.Results:Before nursing,there were no statistically significant differences in the occurrence of dangerous behaviors,scores of Positive and Negative Symptom Scale(PANSS)and Montreal Cognitive Assessment(MoCA)of patients between two groups(P>0.05).After nursing,the occurrence of dangerous behaviors,scores of PANSS and MoCA of patients in observation group were better than those in control group with statistical differences(P<0.01).Conclusions:Comprehensive nursing intervention based on time nursing can reduce the risk of dangerous behaviors of schizophrenic patients,improve their psychiatric symptoms and cognitive function which has high clinical promotion value.