潘贵春++梁柳宁?龙丽娣?张燕琴

[摘要] 目的 对时间护理在精神分裂症患者健康教育中的临床作用进行分析。 方法 选取2015年6月～2016年6月间我院收治的精神分裂症患者100例作为本次观察对象，将其按照随机原则分为对照组和观察组两组，均采取基础护理以及健康教育干预，而观察组病患则与此同时采取时间护理干预，后对比两组患者的入院时至康复期至出院前的简明精神病量表评分情况，分析两组患者的疾病健康知识掌握情况、护理满意情况以及社会支持评定量表与医学应对问卷评定情况。 结果 观察组患者入院初期与康复期至出院前N-BPRS评分均明顯较入院时优异，且均明显低于对照组（P<0.05）；观察组患者的疾病健康知识掌握评分及护理满意度评分均显著高于对照组（P<0.05）；护理前两组患者的客观支持、主观支持、支持利用度、面对、屈服及回避评分均比较差异无统计学意义（P>0.05），护理后，观察组患者的上述评分均明显优于对照组（P<0.05）。 结论 针对精神分裂症病患，采取基础护理措施及健康教育基础上，采用时间护理干预对于改善健康教育效果有较好的临床价值。

[关键词] 时间护理；精神分裂症；健康教育；护理满意度；基础护理

[中图分类号] R473.74 [文献标识码] A [文章编号] 2095-0616（2017）09-116-04

Analysis on effect of time nursing on health education of patients with schizophrenia

PAN Guichun LIANG Liuning LONG Lidi ZHANG Yanqin

The Fourth Area of Males， Civil Affairs Bureau Psychiatric Hospital of Guangzhou， Guangdong， Guangzhou 510430， China

[Abstract] Objective To analyze the clinical effect of time nursing on health education of patients with schizophrenia. Methods 100 patients with schizophrenia who were admitted to our hospital from June 2015 to June 2016 were selected as research objects. They were randomly divided into the control group and the observation group and they were all given basic nursing and health education intervention. Patients in the observation group were also given time nursing intervention. Scores of brief psychiatric rating scale （BPRS） of admission， in the rehabilitation period and before discharge of patients in two groups were compared. Grasping knowledge on diseases and health， nursing satisfaction， social support revalued scale evaluation and medical coping mode questionnaire evaluation of patients in two groups were analyzed. Results N-BPRS scores of early stage of admission， in the rehabilitation period and before discharge of patients were all significantly better than that on admission and all lower than that of the control group（P<0.05）. Score of grasping knowledge on diseases and health and nursing satisfaction of patients in the observation group were both significantly higher than that of the control group（P<0.05）. Scores of objective support， subjective support， utilization of support， facing， yielding and avoidance before nursing of patients in two groups were compared， P>0.05. After nursing， above scores of patients in the observation group were all significantly better than those of the control group（P<0.05）. Conclusion For patients with schizophrenia， time nursing intervention at basis of basic nursing and health education has better clinical values in improving effect of health education.

[Key words] Time nursing； Schizophrenia； Health education； Nursing satisfaction； Basic nursing

精神分裂症作为一种精神疾病，在进行疾病健康教育时需给予一定的重视以缓解、改善病情。而于基础护理以及健康教育基础上采取时间护理干预，能有效提高病患对于疾病相关知识的了解程度，改善病患的护理满意情况[1]。时间护理即为护理人员结合人体生物的节律，在最佳的时间段对患者的心理、生理及病理等进行护理，把握患者的用药时间。由于精神分裂症患者普遍存在对相关知识接受能力低下及无法配合护理干预的情况，因此护理人员在开展护理工作的过程中对护理干预的时间进行合理的分配，为患者开展针对性的护理措施可获得较为理想的效果[2]。……