认知康复锻炼护理对精神分裂症患者的应用研究

Research on the Application of Cognitive Rehabilitation Exercise Nursing in Patientswith Schizophrenia

[目的]研究认知康复锻炼护理对精神分裂症患者的应用。[方法]研究对象选取清远市第三人民医院2022年4月-2023年4月诊疗的100例精神分裂症(Schizophrenia,SCH)患者,并随机分为常规护理的对照组及联合认知康复锻炼的试验组,该组试验内容包括思维、行为、记忆、集体活动、执行能力训练等五个方面,各组50例,统计比较各组实行护理前与护理后2个月的简明精神病量表,采用心理健康测量表(Psychological Health Inventory,PHI)测评焦虑抑郁、缺乏活力、激活性、思维障碍、敌对猜疑等因子分、日常生活活动能力量表(Activities of daily living,ADL)评分情况。[结果]在实行护理前各组PHI评分表现差异无统计学意义(P>0.05);但实行护理后出现变动,尤其试验组实行认知康复锻炼护理后2个月的PHI评分表现相较于对照组改善更优异,差异有统计学意义(P<0.05);ADL评分方面在实行护理前各组差异无异,无统计学意义(P>0.05),但实行护理后出现变动,其中试验组实行认知康复锻炼护理后2个月的ADL评分表现相比对照组改善情况更好,差异有统计学意义(P<0.05)。[结论]对于SCH患者实行认知康复锻炼护理对其认知功能及日常活动能力有促进作用,宜在临床推行应用。

[Objective]To study the application of cognitive rehabilitation exercise nursing in patients with schizophrenia.[Method]A total of 100 patients with schizophrenia(SCH)who were diagnosed and treated at the Third People’s Hospital of Qingyuan City from April 2022 to April 2023 were equally and randomly divided into a control group with routine nursing care and an experimental group with combined cognitive rehabilitation exercise.The experimental content includes five aspects:thinking,behavior,memory,collective activities,and executive ability training.Statistical comparison was conducted between the concise mental illness scale(PHI)before and 2 months after the implementation of nursing care in each group.Factors such as anxiety and depression,lack of vitality,activation,thinking disorders,hostility and suspicion were measured using the Psychological Health Inventory(PHI),and the scores of the Activities of Daily Living(ADL)were evaluated.[Result]There was no statistically significant difference in the PHI scores of each group before the implementation of nursing care(P>0.05);However,there were changes after the implementation of nursing care,especially in the experimental group,where the PHI score improved significantly after 2 months of cognitive rehabilitation exercise nursing compared to the control group,with a statistically significant difference(P<0.05);In terms of ADL scores,there was no significant difference among the groups before the implementation of nursing care(P>0.05),but there were changes after the implementation of nursing care.Among them,the experimental group showed better improvement in ADL scores 2 months after the implementation of cognitive rehabilitation exercise nursing care compared to the control group,and the difference was statistically significant(P<0.05).[Conclusion]The implementation of cognitive rehabilitation exercise nursing for SCH patients has a promoting effect on their cognitive function and daily activity ability,and should be promoted and applied in clinical practice.