不良事件(暴力、自杀、出走)风险评估分级护理对精神分裂症患者疗效、不良事件发生率的影响

Curative effect and incidence of adverse events of risk assessment grading nursing based on adverse events(violence,suicide,runaway)for patients with schizophrenia

目的:分析不良事件(暴力、自杀、出走)风险评估分级护理对精神分裂症(SP)患者预后疗效、不良事件发生率的影响。方法:选取我院2022年6月至2023年6月收治的SP患者134例,均接受住院规范治疗,按照随机数字表法分为常规护理组和分级护理组,各67例。常规护理组住院期间均实施常规护理干预,分级护理组在常规护理基础上实施不良事件风险评估分级护理,比较2组不良事件发生率、治疗依从性、疗效[阳性与阴性量表(PANSS)]、生活质量[精神分裂症患者生活质量量表(SQLS)]评分。结果:干预后,分级护理组不良事件发生率低于常规护理组(P<0.05),分级护理组治疗依从率高于常规护理组(P<0.05),分级护理组阳性、阴性、精神病理学、动机/精力、症状/副反应、心理社会评分均低于常规护理组(P<0.05)。结论:不良事件风险评估分级护理能提高SP患者治疗依从性,减少不良事件发生,提高疗效,进而提升生活质量。

Objective:To analyze the effect of risk assessment grading nursing based on adverse events(violence,suicide and runaway)on the efficacy and incidence of adverse events in patients with schizophrenia(SP).Methods:A total of 134 SP patients who received standardized in-hospital treatment in our hospital from Jun 2022 to Jun 2023 were selected.They were divided into routine nursing group and graded nursing group by random number table method,67 cases in each group.The routine nursing group was given routine nursing intervention during hospitalization,and the graded nursing group was given graded nursing with adverse event risk assessment on the basis of routine nursing.The incidence of adverse events,treatment compliance,efficacy[positive symptoms of positive and negative syndrome scale(PANSS)]and quality of life[schizophrenia quality of life scale(SQLS)]between the two groups were compared.Results:After intervention,the incidence of adverse events in graded nursing group was lower than that in routine nursing group(P<0.05).The treatment compliance rate of graded nursing group was higher than that of routine nursing group(P<0.05).The positive,negative,psychopathological,motivation/energy,symptom/side effect,and psychosocial scores in graded nursing group were lower than those in routine nursing group(P<0.05).Conclusion:Graded nursing with adverse event risk assessment can improve the treatment compliance of SP patients,reduce the occurrence of adverse events,improve the curative effect and quality of life.