中医康复护理结合改良催吐法对精神分裂症患者药物中毒急诊救治的效果

Effect of traditional Chinese medicine rehabilitation nursing combined with modified emetic induction method on emergency treatment of drug poisoning in patients with schizophrenia

目的探讨中医康复护理+改良催吐法对精神分裂症患者药物中毒急诊救治的效果。方法回顾性分析2020年1月至2023年1月于聊城市第四人民医院收治的86例精神分裂症药物中毒患者的资料,按照不同的护理方法分为对照组(常规护理,43例)及观察组(中医康复护理+改良催吐法,43例)。比较2组患者的依从性、心理状态、精神状况、行为障碍和生活质量。结果观察组的总依从率高于对照组(P<0.05)。护理7 d和14 d后,观察组的汉密尔顿焦虑量表、汉密尔顿抑郁量表、简明精神病评定量表评分均低于同期对照组(P均<0.05),且2组均低于护理前(P均<0.05);观察组的护士用住院患者观察量表、健康调查问卷评分均高于同期对照组(P均<0.05),且2组均高于护理前(P均<0.05)。结论中医康复护理结合改良催吐法可提高精神分裂症药物中毒患者的依从性和生活质量,改善其心理状态、精神状况以及行为障碍。

Objective To explore the effect of traditional Chinese medicine rehabilitation nursing combined with modified emetic induction method on emergency treatment of drug poisoning in patients with schizophrenia.Methods The data of 86 schizophrenic patients with drug poisoning admitted to the Liaocheng Fourth People's Hospital from January 2020 to January 2023 were retrospectively analyzed.According to different nursing methods,they were divided into a control group(conventional nursing,43 cases)and an observation group(traditional Chinese medicine rehabilitation nursing combined with modified emetic induction method,43 cases).The compliance,psychological status,mental state,behavior disorder and quality of life of the two groups were compared.Results The total compliance rate of the observation group was higher than that of the control group(P<0.05).After 7 and 14 days of nursing,the scores of the Hamilton Anxiety Scale,Hamilton Depression Rating Scale and Brief Psychiatric Rating Scale in the observation group were lower than those in the control group during the same period(all P<0.05),and the above scores in both groups were lower than those before nursing(all P<0.05).The scores of NursesObservation Scale for Inpatient Evaluation and Short Form-36 Health Survey in the observation group were higher than those in the control group during the same period(all P<0.05),and the above scores in both groups were higher than those before nursing(all P<0.05).Conclusion Traditional Chinese medicine rehabilitation nursing combined with modified emetic induction method can improve the compliance and quality of life of schizophrenic patients with drug poisoning,and improve their psychological status,mental state and behavior disorder.