周雅玲　史尧胜　方泽忠

[摘要] 目的 綜合分析重复经颅磁刺激治疗精神分裂症患者88例的临床护理效果。 方法 选取2015年8月～2016年12月在我院收治的88例精神分裂症患者一般资料作为研究对象，根据不同的护理方法分为实验组与对照组，每组均为44例。对照组应用假性重复经颅磁刺激联合常规护理方法，实验组应用重复经颅磁刺激联合综合护理方法。采用SPSS20.0统计学软件分析两组患者的护理前后生活质量（心理功能、生理功能、物质功能、社会功能、生活能力、幸福指数）评分，采用阳性和阴性症状量表进行疗效评定。 结果 ①护理前，两组患者的生活质量评分比较差异无统计学意义（P>0.05）；护理后，实验组患者的心理功能、生理功能、物质功能、社会功能、生活能力、幸福指数等生活质量评分显著高于对照组（P<0.05）；②护理前，两组患者的阳性和阴性症状量表评分比较差异无统计学意义（P>0.05）；护理后，实验组患者的阳性和阴性症状量表评分显著低于对照组（P<0.05）。 结论 重复经颅磁刺激治疗精神分裂症患者的临床护理效果显著，能够有效改善患者的生活质量评分。

[关键词] 重复经颅磁刺激；精神分裂症；临床护理效果

[中图分类号] R473.74 [文献标识码] B [文章编号] 1673-9701（2017）16-0155-04

[Abstract] Objective To comprehensively analyze the clinical nursing effect of 88 cases of schizophrenia treated by repeated transcranial magnetic stimulation. Methods The general data of 88 patients with schizophrenia who were admitted to our hospital from August 2015 to December 2016 were selected as the research object. According to different nursing methods， the patients were divided into the experimental group and the control group， with 44 cases in each group. The control group was given pseudo repeated transcranial magnetic stimulation combined with conventional nursing methods， and the experimental group was given repeated transcranial magnetic stimulation combined with comprehensive nursing methods. SPSS20.0 statistical software was used to statistically analyze the scores of the quality of life （psychological function， physiological function， material function， social function， living ability and happiness index） of the two groups before and after the nursing care. Positive and negative symptom scales were used to evaluate the efficacy. Results ①There were no significant differences in the scores of psychological quality， physiological function， material function， social function， living ability and happiness index between the two groups before nursing（P>0.05）； the scores of psychological function， physiological function， material function， social function， living ability and happiness index in the experimental group were significantly higher than those in the control group after the nursing（P<0.05）； ② there was no statistically significant difference in the scores of positive and negative symptom scales between the two groups before nursing（P>0.05）； after nursing， the scores of the positive and negative symptom scale in the experimental group were significantly lower than those in the control group（P<0.05）. Conclusion The clinical nursing effect of 88 cases of schizophrenia treated by repeated transcranial magnetic stimulation is significant， which can effectively improve the scores of quality of life in the patients.

[Key words] Repeated transcranial magnetic stimulation； Schizophrenia； Clinical nursing effect

重复经颅磁刺激是一种非侵入性局部技术，能够直接刺激患者的皮质神经元[1，2]。重复经颅磁刺激作为一种无损伤且无痛的皮层刺激方法，具有两个方面的优点：其一，操作简便；其二，安全可靠。现阶段来看，重复经颅磁刺激被作为一种重要的非药物治疗手段而被广泛用于治疗精神分裂症[3-5]。国内外均有诸多学者在研究重复经颅磁刺激在精神分裂症患者中的辅助价值，尤其有学者研究发现重复经颅磁刺激能够有效改善精神分裂症患者的阴性症状。精……