家庭护理干预对首发精神分裂症病人的康复作用

Family Nursing Intervention and First Onset Schizophrenics Rehabilitation

目的探讨家庭护理干预对首发精神分裂症病人的康复作用。方法选择 10 0例首发精神分裂症病人 ,随机分为研究组和对照组各 5 0例。对研究组病人进行为期 1年的家庭护理干预 ;对照组未进行护理干预 ,每个月随访 1次 ,调查服药依从性等情况。采用简明精神病评定量表 (BPRS)、社会功能缺陷筛选量表 (SDSS)进行测评 ,对服药依从性、复发率等指标进行效果评估。结果研究组在干预 3、6、9、12个月时BPRS总评分与对照组相比 ,差异有显著性意义 (P <0 .0 5 ,P <0 .0 1) ;干预 6、12个月时研究组病人的服药依从性优于对照组 (P <0 .0 5 ) ,其复发率低于对照组 (P <0 .0 5 ) ;SDSS评分在 12个月时研究组显著低于对照组 (P <0 .0 5 )。结论对首发精神分裂症病人进行家庭护理干预 ,有利于巩固住院疗效 ,提高病人的服药依从性 ,降低复发率 ,延缓社会功能衰退 。

Objective To investigate family nursing intervention and first onset schizophrenics rehabilitation. Methods One hundred patients with first onset schizophrenics were randomly divided into study group and control group equally . The patients were subjected to one year family nursing intervention. The brief psychiatric rating scale (BPRS) and social disability screening schedule (SDSS) were used to assess the compliance and relapse rate. Results In the study group, the scores of BPRS after intervention for 3, 6, 9, 12 months were significantly different from those in the control group ( P <0.05, P <0.01). After intervention for 6 and 12 months, the compliance in study group was superior to that in the control group ( P <0.05), and relapse rate was lower ( P <0.05). At 12 months, the SDSS scores in study group were lower than in control group,there was significant difference in SDSS scores between the two groups ( P <0.05). Conclusion Family nursing intervention to first onset schizophrenics was beneficial to improve clinical effectiveness and compliance and decrease relapse rate.