精神分裂症患者出院后实施医院-家庭延续护理的临床效果

Clinical effects for the patients with schizophrenia by hospital - family continue nursing care

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(2)
作者
作者单位

重庆市大足区人民医院质控科 ;

摘要
摘要 探讨精神分裂症患者出院后实施医院-家庭延续护理的临床效果。方法 比较我院实施医院-家庭延续护理前、后分别收治的59例(对照组)和66例(实验组)精神分裂症患者出院后6个月复发情况以及出院时和出院后6个月焦虑抑郁状态、康复疗效、服药依从性以及社会功能残疾程度。结果 实验组患者出院后6个月SAS、SDS评分显著低于对照组,有统计学差异(P<0.05);实验组患者出院后6个月[第一作者:夏玉兰,1968.11.14,女,重庆大足,本科,副主任护师,电话:13896182703,地址:重庆市大足区人民医院龙岗西街138号。通讯作者:龚莎,E-mail:121257731@qq.com]生活能力、社交能力、兴趣爱好、个人卫生评分均显著低于对照组,有统计学差异(P<0.05);实验组患者出院后6个月依从性显著高于对照组,有统计学差异(P<0.05);实验组出院后6个月复发率显著低于对照组,有统计学差异(P<0.05);实验组患者出院后6个月认知、运动能力、自我照料、与他人相处评分均显著低于对照组,有统计学差异(P<0.05)。结论 出院后实施医院-家庭延续护理能够有效提高精神分裂症的康复效果,改善患者心理状态、服药依从性和社会功能残疾程度,降低复发率,临床推广价值较高。
Abstract
Abstract Objective To explore the clinical effects for the patients with schizophrenia by hospital - family continue nursing care. Methods 59 cases of patients as the control group and 66 cases of patients as the experiment, the anxiety depression, rehabilitation efficacy, medication adherence and degree of disability of social function were compared. Results The scores of SAS, SDS for the experiment group were lower than the control group(P<0.05); The scores of life ability, social skills, interests, personal hygiene for the experiment group were lower than the control group(P<0.05); The compliance for the experiment group were higher than the control group(P<0.05); The rate of relapse for the experiment group were lower than the control group(P<0.05); The scores of cognition, athletic ability and self care, get along with others for the experiment group were lower than the control group(P<0.05). Conclusion It can improve the clinical effects for the patients with schizophrenia by hospital - family continue nursing care, improve the psychological state, medication adherence degree of disability and social function, reduce the rate of relapse, it has high values of clinical extension.
关键词
关键词 精神分裂症;医院-家庭延续护理;康复效果;依从性;复发
KeyWord
Keywords schizophrenia; hospital - family continue nursing care; rehabilitation effects; compliance; relapse
基金项目
页码 290-293
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夏玉兰,韦用兰,李雪,龚莎*. 精神分裂症患者出院后实施医院-家庭延续护理的临床效果 [J]. 国际精神病学杂志. 2017; 44; (2). 290 - 293.

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