心理护理干预对首发精神分裂症患者暴力行为的影响

Effects of Psychological nursing intervention in patients with first-episode schizophrenia violence

目的探究心理护理干预对于首发精神分裂症患者暴力行为的影响情况。方法选择我院2014年6月~2015年6月收治的首发精神分裂症患者72例,随机分为两组,各36例。对照组进行常规护理,观察组在常规护理的基础上加以心理护理干预。结果观察组在护理干预后暴力行为次数显著少于对照组,差异有统计学意义(P<0.05)。观察组在出院时BPRS评分显著低于对照组,差异有统计学意义(P<0.05)。观察组在护理干预后焦虑抑郁、思维障碍以及敌对猜疑的BPRS因子分数显著低于干预前,差异有统计学意义(P<0.05)。结论对于首发精神分裂症患者采用有效心理护理干预能够显著降低暴力行为发生次数,值得临床推广。

Objective: To explore the effects of the psychological nursing intervention for patients with first-episode schizophrenia influence of violence. Methods: We took the 72 cases of patients with first-episode schizophrenia from June 2014 to June 2015 treated in our hospital, and they were randomly classified into two groups, 36 case each group. Control group were under general care, the observation group were used by psychological care intervention besides routine care. Results: After nursing intervention, the number of violent acts in the observation group was greatly less than that in the control group, and the difference had statistical significance(P <0.05).in the Observation group, at time of discharge the BPRS scores were significantly lower than that in the control group, the difference had statistical significance(P <0.05). In the Observation group, after nursing intervention, the anxiety, depression, thinking obstacles and hostile suspicion of BPRS factor scores were greatly lower than before the intervention, the difference had statistical significance(P < 0.05). Conclusion: For patients with first-episode schizophrenia effective psychological nursing intervention can significantly reduce the number of violent acts occur, and it is worthy of being used widely.