分段式健康教育对首发精神分裂症患者早期疗效的影响

目的探讨对首发精神分裂症患者及家属实施分段式健康教育的效果。方法选择2010年6—12月收治的首次发病精神分裂症患者80例,随机分为实验组和对照组各40例。实验组采用精神科药物配合分段式健康教育;对照组采用精神科药物和传统的健康教育方式。对两组的治疗效果采用护士用住院患者观察量表(nurses’observation scale for inpatient evaluation,NOSIE)和自制的患者及其家属满意度调查表进行评定。计量资料采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果两组患者干预8周末NOSIE评分差异均有统计学意义(均P<0.05)。实验组的患者及家属对医护人员的满意度高于对照组,差异有统计学意义(P<0.05)。实验组患者满意38例,占95.0%;家属满意39例,占97.5%;对照组患者满意32例,占80.0%;家属满意34例,占85.0%,两组患者、家属满意率比较差异均有统计学意义(χ2=4.67、4.35,均P<0.05)。结论对首发精神分裂症患者及其家属实施分段式健康教育,对患者早期病情恢复有促进作用。

Staged health education on early efficacy in patients with first-episode schizophrenia

Objective To discuss the efficacy of staged health education for patients with first - episode schizophrenia and their family members. Methods Eighty cases with first - episode schizophrenia treated from June to December in 2010 were randomly divided into experimental group and control group, 40 cases for each. Experimental group received an-tipsychotic drugs and staged health education, while control group antipsychotic drugs and traditional health education. Both groups were compared for efficacy with nurses observation scale for inpatient questionnaire （NOISE） and for patient and family satisfaction with self-made assessment scale. Measurement data were processed with t test, count data with X^2 test, the result of P 〈 0.05 was considered to be statistically significant. Results Eight weeks after intervention, NOISE scores in both groups showed significant difference （P 〈 0.05）. In experimental group, there were 38 patients with satis-faction （95.0%）, 39 family members with satisfaction（97.5% ） ; and in control group, there were 32 patients with satis-faction （80.0%）, 34 family members with satisfaction（ 85.0% ） . The satisfaction in patients and their family members was statistically significant different between two groups （X^2 = 4.67,4.35, both P 〈 0.05 ）. Conclusions The implemen-tation of staged health education for patients with first - episode schizophrenia and their family members can promote disease recovery.