住院精神分裂症病人阴性症状与健康教育需求的调查及护理对策

Investigation and nursing countermeasure between negative symptoms and requirement of health education

目的 :探讨阴性症状与健康教育需求的关系 ,以寻求住院精神分裂症病人适合的健康教育的依据。方法 :采用阴性症状评定量表 (SANS)和自行设计健康教育调查问卷 ,对我院住院精神分裂症病人 2 3 6例进行评定、调查。结果 :86例病人有健康教育需求 ,12 7例病人无健康教育需求 ,2 3例病人无法进行交谈。两组在SANS总分及各因子上均存在高度显著性差异(P <0 .0 1) ,在年龄、病程、住院时间方面存在显著性差异 (P <0 .0 5 ) ,而在文化程度上无显著性差异。结论 :①阴性症状评定对实施健康教育具有一定的指导性 ;②年龄、病程、住院时间对是否需求健康教育有影响 ;

Objective: To explore the relationship between negative symptoms and requirement of health education.Methods: 236 schizophrenic patients in Beijing Huilongguan Hospital were assessed with the Scale of Assessment Negative symptoms(SANS) and the Questionnaire of Health Education Survey.Results: 86 schizophrenic patients had health requirement.127 schizophrenic patients had no health requirement.23 patients refused to answer.There were significantly difference in total and each subscale scores of SANS ,age ,illness duration and length of staying between groups with health requirement and with no health requirement,but there were no difference in education level between the two groups.Conclusions:① The schizophrenic patients could be practiced by SANS scores;② The requirement of health education was related to age ,illness duration and length of staying;③The schizophrenic inpatients would be practiced with multi-dimensional health education and multi-stratification management.