循证护理健康教育模式对新发精神分裂症患者暴力倾向、社会功能的影响

Effect of evidence-based nursing health education model on violent tendency and social function of patients with newly diagnosed schizophrenia

目的分析循证护理健康教育模式在新发精神分裂症患者中的应用效果。方法选取聊城市第四人民医院于2019年12月至2020年10月收治的126例新发精神分裂症患者为研究对象,按随机信封法分为2组,各63例。2组患者均接受药物治疗,对照组开展常规护理,观察组在常规护理的基础上开展循证护理健康教育。比较2组患者的甲状腺功能指标水平、暴力倾向性行为评分、社会功能评分及用药依从性。结果护理8周后,2组的血清总三碘甲腺原氨酸、总甲状腺素、游离三碘甲状腺原氨酸和游离甲状腺素水平均较护理前降低(P均<0.05),2组的社交能力、生活能力和卫生能力评分均较护理前降低(P均<0.05);与对照组比较,观察组的上述指标水平及评分均更优(P均<0.05)。护理8周后,观察组的自身攻击、言语攻击、物品攻击和对他人攻击的评分与各项加权总分均较对照组更低(P均<0.05);与对照组比较,观察组的用药依从性更优(P<0.05)。结论循证护理健康教育可有效降低新发精神分裂症患者的暴力攻击性,改善其社会功能和甲状腺功能,提高其用药依从性。

Objective To analyze the application effect of evidence-based nursing health education model in the patients with newly diagnosed schizophrenia.Methods A total of 126 patients with newly diagnosed schizophrenia were selected from Liaocheng Fourth People's Hospital between December 2019 and October 2020.They were divided into two groups by random envelope method,each with 63 patients.Both groups received drug treatment.The control group carried out routine nursing,and the observation group carried out evidence-based nursing health education on the basis of the routine nursing.The thyroid function parameters,violent behavior scores,social function scores,and medication compliance of the two groups were compared.Results After 8 weeks of nursing,the serum levels of total triiodothyronine,total thyroxine,free triiodothyronine,and free thyroxine in the two groups were lower than those before nursing(all P<0.05),and the scores of social ability,living ability,and hygiene ability in the two groups were lower than those before nursing(all P<0.05).Compared with the control group,the above indicators in the observation group were better(all P<0.05).After 8 weeks of nursing,the scores and total weighted scores of self-attack,verbal attack,object attack,and attack on others in the observation group were lower than those in the control group(all P<0.05).Compared with the control group,the medication compliance of the observation group was better(P<0.05).Conclusion Evidence-based nursing health education can effectively reduce the aggressiveness of patients with newly diagnosed schizophrenia and improve their social function and medication compliance.