基于风险评估策略下的精准护理干预在住院老年精神分裂症患者中的应用效果

Application effect of precision nursing intervention based on risk assessment strategy in hospitalized elderly patients with schizophrenia

目的分析基于风险评估策略下的精准护理干预在住院老年精神分裂症患者中的应用效果。方法将2020年1月至2021年12月于苏州市广济医院接受住院治疗的124例老年精神分裂症患者纳入研究,并按随机数字表法将其分为对照组和观察组,每组62例。对照组采取常规跌倒预防干预措施,观察组在进行跌倒风险评估后采取精准护理干预措施,分析2组护理方法的应用效果。结果相较于对照组,观察组的跌倒发生率更低(P<0.05)。相较于入院前,2组在入院12周和24周后的日常生活能力量表(ADL)评分、精神分裂症阳性症状评定量表(SAPS)评分均有所降低(P均<0.05),且观察组在入院12周和24周后的ADL评分、SAPS评分均低于同期对照组(P均<0.05)。结论基于风险评估策略下的精准护理干预可提高老年精神分裂症住院患者的日常生活能力,改善精神分裂症阳性症状,并有效减少跌倒的发生。

Objective To analyze the application effect of precision nursing intervention based on risk assessment strategy in hospitalized elderly patients with schizophrenia.Methods A total of 124 elderly schizophrenic patients who were hospitalized at Suzhou Guangji Hospital from January 2020 to December 2021 were included in the study and allocated into a control group and an observation group using a random number table,with 62 patients in each group.The control group adopted routine fall prevention intervention,while the observation group adopted precision nursing intervention after assessing the risk of falls.The application effect of the two nursing methods was analyzed.Results Compared with the control group,the observation group had a lower incidence of falls(P<0.05).Compared with those before admission,the Activities of Daily Living Scale(ADL)and Scale for the Assessment of Positive Symptoms(SAPS)scores of both groups decreased at 12 and 24 weeks after admission(all P<0.05),and the ADL and SAPS scores of the observation group were lower than those of the control group at 12 and 24 weeks after admission(all P<0.05).Conclusion Precision nursing intervention based on risk assessment strategy can improve the activities of daily living,relieve the positive symptoms,and effectively reduce the falls in hospitalized elderly patients with schizophrenia.