量化评估指导下的个性化护理干预对精神分裂症患者自我管理、睡眠质量及康复进程的影响

To Quantitatively Evaluate of the Effects of Personalized Nursing Intervention under Guidance on Self-management,Sleep Quality and Recovery Process in Patients with Schizophrenia

目的:分析量化评估指导下的个性化护理干预对精神分裂症患者自我管理、睡眠质量及康复进程的影响。方法:选取2020年5月至2022年5月福建省泉州市永春县安康医院收治的精神分裂症患者84例作为研究对象,按照随机数字表法分为观察组(n=43)和对照组(n=41),对照组给予常规护理干预,观察组给予量化评估指导下的个性化护理,采用自我管理量表(SSMIS)评估2组患者入院24 h及护理后6个月的自我管理能力,采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化,采用阳性与阴性症状量表(PANSS)评估2组患者的病情严重程度。结果:护理后,观察组SSMIS评分显著高于对照组,观察组PSQI评分、PANSS评分均低于对照组,差异有统计学意义(P<0.05)。结论:量化评估指导下的个性化护理能提升患者自我管理能力,改善精神分裂症患者阴性和阳性症状,对于睡眠质量的影响更为积极,值得广泛推广与使用。

Objective:To analyze the effects of personalized nursing intervention guided by quantitative evaluation on self-management,sleep quality and rehabilitation process of schizophrenia patients.Methods:A total of 84 patients with schizophrenia admitted to Ankang Hospital,Yongchun County,Fujian Province from May 2020 to May 2022 were selected as the research objects,and divided into observation group(n=43)and control group(n=41)according to the random number table method.The control group was given routine nursing intervention,and the observation group was given personalized nursing under the guidance of quantitative evaluation.Self-management Scale(SSMIS)was used to evaluate the self-management ability of patients between 2 groups at 24 hours after admission and 6 months after care.Pittsburgh Sleep Quality Index(PSQI)scale was used to compare the changes of sleep quality between 2 groups before and after intervention,and Positive and Negative Symptom Scale(PANSS)was used to evaluate the severity of disease between 2 groups.Results:After nursing,SSMIS score in the observation group was significantly higher than that of the control group,PSQI score and PANSS score in the observation group were lower than the control group,and the difference between the two groups was statistically significant(P s<0.05).Conclusion:Personalized nursing under the guidance of quantitative assessment can improve the self-management ability of patients,improve the negative and positive symptoms of schizophrenia patients,and have a more positive impact on sleep quality,which is worthy of widespread promotion and use.