钟红英?吴燕明?苏巧玲

[摘要] 目的 对精神分裂症患者分别采用延续性护理和常规护理，并对2种护理模式的护理效果进行对比分析。 方法 本次研究的观察对象为我院收治的81例精神分裂症患者，按出院时间的先后顺序将其分为常规组和干预组，其中常规组41例，行常规护理；干预组40例，行延续性护理。 结果 通过比较两组患者护理后的治疗依从性、精神病量表评分及复发率，发现观察组的治疗总依从性（100.00%）、精神量表评分及复发率（5.00%）均与对照组的相应值存在明显差异，且差异显著（P<0.05）。 结论 与常规护理相比，对精神分裂症患者采用延续性护理不仅有助于提高其治疗依从性、改善病情，还能减少疾病的复发情况，使用价值较高。

[关键词] 延续性护理；常规护理；精神分裂症

[中图分类号] R473.74 [文献标识码] A [文章编号] 2095-0616（2017）14-145-04

Nursing effect comparative observation of continuing nursing and routine care in patients with schizophrenia

ZHONG Hongying WU Yanming SU Qiaoling

Affiliated Mental Hospital of Guangzhou Municipal Bureau of Civil Affairs， Guangdong， Guangzhou 510430， China

[Abstract] Objective To compare and analyze the nursing effect of 2 kinds of nursing mode in patients with schizophrenia. Methods 81 cases of mental patients with schizophrenia in our hospital were selected as the study object. According to the sequence of the discharge time， they were divided into the conventional group and intervention group. 41 cases in conventional group were treated with routine nursing care. 40 cases in the intervention group were treated with continuing nursing care. Results Treatment compliance， psychiatric scale score and the recurrence rate of discovery between the 2 groups after nursing were compared. Total treatment compliance of the observation group （100.00%）， mental scale score and the recurrence rate （5.00%） were significantly different to the control group， and the differences were significant （P<0.05）. Conclusion Compared with routine nursing care， continuing nursing care in treatment of patients with schizophrenia can not only improve the treatment compliance and improve the condition， but also can reduce the recurrence of the disease. It has high use value.

[Key words] Continuous nursing； Routine nursing； Schizophrenia

精神分裂症属于精神疾病的一种，随着人们生活压力的增加、社会角色的转变以及经济条件的变化，该疾病的患病率也在不断上升[1-2]。精神分裂症具有病情迁延、难以治愈的特点，患者需长期接受药物治疗才可控制病情，但如果出院后没有得到相关的护理干预，大部分患者往往会出现不遵循医嘱服药、作息紊乱、缺乏运动等情况，从而导致疾病复发，不利于良好预后[3-4]。医护人员应对精神分裂症患者出院后的病情发展情况给予关注，采取延续性护理干预，以便能够掌握患者的病情，并针对所存在的问题及时采取干预措施，令患者出院后的生活质量获得保障。本文经分析比较延续性护理和常规护理在精神分裂症患者护理中的效果，报道如下。

1 资料与方法

1.1 一般资料

本次研究的观察对象选自2015年3月～2016年3月期间于我院接受治疗后病情稳定且康复出院的精神分裂症患者，共81例。……