护理干预对首发精神分裂症患者疗效的影响

目的探讨护理干预对首发精神分裂症患者的疗效和社会功能康复的影响。方法选取60例在护理干预科病房住院治疗的首发精神分裂症患者为干预组,60例在非护理干预科病房住院的首发精神分裂症患者为对照组,对照组单用抗精神病药物治疗,干预组在药物治疗的同时辅以心理和社会综合干预措施。于干预前、出院后随访6mo末及1a末采用自编一般资料调查表、阳性症状与阴性症状量表、社会功能缺陷筛选量表评定临床疗效及社会功能改善情况。结果阳性症状与阴性症状量表评分出院后随访6mo末及1a末干预组总分及阴性症状分均显著低于对照组(P均<0.01);社会功能缺陷筛选量表评分出院后随访6mo末及1a末干预组职业和工作、社会活动、家庭职能、生活自理、责任性和计划性等因子分均显著低于对照组(P均<0.01)。结论护理干预措施有助于提高精神分裂症患者的疗效和促进社会功能的康复。

Effects of nursing interventions on first-episode schizophrenics

Objective To explore the curative effects and effects on social function rehabilitation of nursing intervention in first-episode schizophrenics.Methods 60 hospitalized first-episode schizophrenics in nursing-intervention ward were assigned to intervention group receiving medication plus psycho-social comprehend interventions and 60 ones in non-nursing-intervention ward to control group receiving single antipsychotics.Curative effects and social function improvement were assessed with the Self-made General Information Quetionnaire,the Positve and Negative Syndrome Scale and the Social Disability Screening Schedule(SDSS)before intervention and at the ends of 6 and 12 month post-discharge follow-up.Results At the ends of 6 and 12 month post-discharge follow-up,total and negative symptom scores of the PANSS(P<0.01)and scores of such factors as occupation and work,socialization,family functional authority,responsibility and planning of the SDSS(P<0.01)were significantly lower in intervention group than in control group.Conclusion Nursing interventions make for improving the curative effects and promoting the habilitation of social function in schizophrenics.