吴茱萸外敷结合人性化护理对精神分裂症患者睡眠质量的影响

Effect of external application of Evodia rutaecarpa combined with humanistic nursing on sleep quality of schizophrenics

目的:探讨吴茱萸外敷结合人性化护理干预对精神分裂症患者睡眠质量的影响,为患者的临床诊疗提供指导。方法:选取2018年7月至2019年7月确诊的100例精神分裂症患者进行研究。按照随机数表法分为对照组和研究组,各50例。对照组采用常规护理,研究组采用吴茱萸外敷结合人性化护理。对比分析两组患者干预前后睡眠质量、生活质量、社会认知各项功能评分,并评估临床疗效。结果:干预后,研究组患者健康行为规范度明显高于对照组,差异有统计学意义(P<0.05);研究组患者睡眠质量评分为(1.53±0.28)分,生活质量评分为(16.3±5.11)分,生活自理量表(physical self-maintenance scale,PSMS)评分为(21.3±5.9)分,日常生活活动量表(instrumental activities of daily living scale,IADL)评分为(5.12±4.28)分,均明显低于对照组[睡眠质量评分为(1.77±0.56)分,生活质量评分为(19.12±6.67)分,PSMS评分为(26.3±5.97)分、IADL评分为(9.17±1.28)分],差异有统计学意义(P<0.05);研究组的治疗总有效率为98%,明显高于对照组的64%,差异有统计学意义(P<0.05)。结论:吴茱萸外敷结合人性化护理干预对精神分裂症患者睡眠质量的干预效果显著,能有效改善患者睡眠质量,提高患者生活质量,值得临床推广。

Objective:To explore the effect of external application of Evodia rutaecarpa combined with humanistic nursing on the sleep quality of schizophrenic patients,so as to provide guidance for the clinical diagnosis and treatment of patients.Methods:One hundred schizophrenics diagnosed with schizophrenia between July 2018 and July 2019 were selected for study.According to the random number table method,patients were divided into a control group and a study group(50 cases for each).The control group used conventional nursing,while the study group used external application of Evodia rutaecarpa combined with humanistic nursing.The sleep quality,quality of life and social cognitive function scores of the two groups were compared and analyzed before and after intervention,and the clinical effect was evaluated.Results:After intervention,the healthy behavior of patients in the study group was significantly improved than that in the control group(P<0.05);the sleep quality score of patients in the study group was 1.53±0.28,the life quality score was 16.3±5.11,the physical self-maintenance scale(PSMS)score was 21.3±5.9,and the instrumental activities of daily living scale(IADL)score was 5.12±4.28,which were significantly lower than that in the control group(sleep quality score 1.77±0.56,PSM score 19.12±6.67,PSMS score 26.3±5.97,IADL daily life activity score 9.17±1.28).The difference was statistically significant(P<0.05).The total effective rate of the study group was 98%,significantly higher than 64%of the control group.The difference was statistically significant(P<0.05).Conclusion:External application of Evodia rutaecarpa combined with humanistic nursing intervention has a significant effect on the sleep quality of schizophrenic patients,which can effectively improve the quality of life and sleep quality of patients,which is worthy of clinical promotion.