综合护理干预联合脑反射治疗对老年慢性精神分裂症阴性症状患者的疗效观察

Observation on the Curative Effect of Comprehensive Nursing Intervention Combined with Brain Reflex Therapy on the Negative Symptoms of Chronic Schizophrenia in the Elderly Patients

目的:探讨综合护理干预联合脑反射治疗对老年慢性精神分裂症阴性症状患者的应用效果,为临床护理提供依据。方法:选取2019年4月—2021年8月吉安市第三人民医院收治的89例老年精神科女性病房中以阴性症状为主的慢性精神分裂症患者作为研究对象,根据治疗方案不同将其分为对照组42例和观察组47例。对照组采用常规护理联合脑反射治疗,观察组实施综合护理联合脑反射治疗。比较两组患者阴性症状、治疗效果、心理状态[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分]情况。结果:干预后,观察组患者阴性症状各维度评分明显低于对照组,差异有统计学意义(t=2.616、2.964、3.512、2.818、4.936,P<0.05)。观察组患者治疗总有效率为91.48%,明显高于对照组的76.19%,差异有统计学意义(χ^(2)=3.916,P<0.05)。干预后,观察组HAMA、HAMD评分均明显低于对照组,差异有统计学意义(t=4.454、7.412,P<0.05)。结论:综合护理干预联合脑反射治疗对老年慢性精神分裂症阴性症状患者具有良好的临床治疗效果,能够改善老年慢性精神分裂症患者阴性症状,减轻患者的负性情绪,促进患者疾病康复。

Objective:To explore the application effect of comprehensive nursing intervention combined with cerebral reflexology on elderly patients with negative symptoms of chronic schizophrenia,and to provide a basis for clinical care.Methods:89 cases of chronic schizophrenia patients with predominantly negative symptoms in the female ward of the geriatric psychiatry department admitted to the hospital from April 2019 to August 2021 were selected as the study subjects,and they were divided into 42 cases in the control group and 47 cases in the observation group according to the different treatment protocols.The control group was treated with conventional nursing combined with brain reflexology,and the observation group implemented comprehensive nursing combined with brain reflexology.The negative symptoms,therapeutic effects,and psychological state[Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)scores]of the patients in the two groups were compared.Results:After the intervention,patients in the observation group had significantly lower scores on all dimensions of negative symptoms than those in the control group,and the difference was statistically significant(t=2.616,2.964,3.512,2.818,4.936;P<0.05).The total effective rate of treatment for patients in the observation group was 91.48%,which was significantly higher than the 76.19%in the control group,and the difference was statistically significant(χ^(2)=3.916,P<0.05).After the intervention,the HAMA and HAMD scores of the observation group were significantly lower than those of the control group,and the difference was statistically significant(t=4.454,7.412;P<0.05).Conclusion:Comprehensive nursing intervention combined with cerebral reflexology has good clinical therapeutic effects on elderly patients with chronic schizophrenia with negative symptoms,which can improve the negative symptoms of elderly patients with chronic schizophrenia,reduce the negative emotions of the patients,and promote the recovery of their diseases.