循证护理在精神分裂症患者康复护理中的应用

目的探讨循证护理在精神分裂症患者康复护理中的作用。方法以我科收治的114例精神分裂症患者为调查对象，随机选择62例患者为观察组，首先提出问题，由护士对相关护理证据进行查询，并以实证为依据进行临床循证护理实践；余52例患者为对照组，采用常规的精神科护理方法进行护理。所有患者在人组时使用住院精神患者康复疗效评定量表（IPROS）和简明精神量表（BPRS）进行评测，2个月后再次评测，对两组患者护理前后进行对比分析。结果人组时，两组患者的IPROS和BPRS各项评分无统计学差异（P〉0．05）；入组2个月后，观察组BPRS量表中焦虑抑郁、缺乏活力、激活性得分明显低于对照组（P〈0．05），且总分较对照组低（P〈0．05），观察组IPROS量表中所有指标均低于对照组（P〈0．05）。结论与常规精神科护理方法相比，使用循证护理对精神分裂症患者进行临床护理能显著促进患者的康复，改善患者的精神状况。

The application of evidence -based nursing in the rehabilitation of schizophrenia pa-tients

Objective To investigate the effect of evidence - based nursing in the rehabilitation of schizophrenia patients. Methods A total of 114 schizophrenia patients were randomly selected and divided into two groups. In the observation group with 62 patients, the nursing implementation methods were found in the database according to the clinical questions, clinical nursing practice was followed by the evidence. The rest 52 patients were in the control group, the nursing care was followed by conventional methods of psychiatric. All of the pa- tients were evaluated by the psychiatric rating scale efficacy （IPROS） and simple spiritual Scale （BPRS）. The effects of two groups were compared before and after the nursing care 2 months later. Results There was no significant difference between the two groups of IPROS and BPRS score （ P 〉 0. 05 ） , 2 months later, the scores of anxiety, depression, lack of energy, activated and the total score in the BPRS of the observation group were lower than those of the control group （ P 〈 0. 05 ）, all indicators in the IPROS of the observation group were lower than those of the control group （ P 〈 0. 05 ） . Conclusions Compared with the conventional methods of psychiatric, evidence - based nursing can significantly promote the rehabilitation of schizophrenia patients, improve the patients mental condition.