量化评估下的个性化护理干预对青少年精神分裂症患者自我管理能力的影响

  目的   探讨量化评估下的个性化护理干预在青少年精神分裂症患者自我管理中的应用效果。   方法   选择2019年2月—2020年2月于绍兴市第七人民医院精神科住院治疗的青少年精神分裂症患者200例为研究对象，根据随机数字表法将患者分为干预组和对照组，每组各100例。对照组患者给予常规精神科护理，干预组则给予量化评估下的个性化护理干预。比较2组患者精神分裂症症状评分阳性和阴性症状量表(PANSS)]、生活质量生活质量综合评定量表(GQOLI-74)]、自我管理能力精神分裂症患者自我管理量表(SSMIS)]以及社会功能情况社会功能缺陷量表(SDSS)]。   结果  干预前，2组患者PANSS评分、GQOLI-74评分、SSMIS评分以及SDSS评分比较差异均无统计学意义，干预后，干预组患者PANSS评分为(41.97±3.81)分, 显著低于对照组的(60.03±4.01)分(P＜0.05)；干预组患者GQOLI-74评分显著高于对照组(均P＜0.05)；干预组患者SSMIS评分为(70.71±13.25)分，显著高于对照组的(59.46±6.53)分(P＜0.05)；干预组患者SDSS评分为(6.01±1.25)分，显著低于对照组的(7.76±1.53)分(P＜0.05)。   结论   量化评估下的个性化护理干预可以有效提升青少年精神分裂症患者自我管理能力。 

Influence of individualised nursing intervention based on quantitative evaluation on the self-management ability of adolescents with schizophrenia

Objective To explore the application effect of individualised nursing intervention based on quantitative evaluation on self-management of adolescents with schizophrenia.Methods A total of 200 adolescent patients with schizophrenia hospitalised in the Psychiatry Department of Shaoxing No.7 People’s Hospital from February 2019 to February 2020 were selected as subjects.The patients were divided into two groups using the random number table method:100 cases in the intervention group and 100 cases in the control group.Patients in the control group were given routine psychiatric nursing,whereas patients in the intervention group were given individualised nursing intervention under quantitative evaluation.Schizophrenia symptom scorepositive and negative syndrome scale(PANSS)],quality of life(comprehensive quality of life rating scale,GQILI-74),self-management ability schizophrenia self-management instrument scale(SSMIS)]and social functionsocial function defect scale(SDSS)]were compared between the two groups.Results Before intervention,no significant difference in PANSS,GQOLI-74,SSMIS and SDSS scores was found between the two groups.After intervention,the PANSS score of the intervention group(41.97±3.81)was significantly lower than that of the control group(60.03±4.01,P<0.05).In addition,the GQOLI-74 score of the intervention group was significantly higher than that of the control group(P<0.05).The SSMIS score of the intervention group(70.71±13.25)was significantly higher than that of the control group(59.46±6.53,P<0.05).Furthermore,the SDSS score of the intervention group(6.01±1.25)was significantly lower than that of the control group(7.76±1.53,P<0.05).Conclusion Personalised nursing intervention based on quantitative evaluation can improve the self-management ability of adolescents with schizophrenia.