孟春燕

[摘要] 目的 研究并分析医院-社区-家庭联动护理对精神分裂症患者疾病症状以及生活质量方面的影响。方法 方便选取2016年4—5月期间在该院住院治疗的60例精神病患者，随机分为研究组和对照组，每组30例患者，对照组采取常规治疗与护理以及出院后随访。研究组在对照组的基础上给予患者医院-社区-家庭联动护理，在住院期间给予患者优质的护理干预、用药指导以及合理的康复训练，在出院后结合社区以及家庭进行联合护理，并且定期入户随访。对比两组患者的服药依从性以及康复效果。 结果 研究组患者的服药依从性（93.3%）明显强于对照组（63.3%），且研究组患者出院1个月、3个月以及6个月的康复效能评分也明显高于对照组。 结论 对精神分裂症患者采用医院-社区-家庭联动护理模式可以有效提高患者的服药依从性以及康复效果，提高治疗效果，值得在临床上进行推广应用。

[关键词] 联动护理；精神分裂症患者；生活质量

[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2018）01（a）-0157-03

Effect of Hospital-community-family Linkage Nursing on Disease Symptoms and Quality of Life in Patients with Schizophrenia

MENG Chun-yan

Department of First Menttal Word Shandong Mental Health Center， Jinan， Shandong Province， 250014 China

[Abstract] Objective This paper tries to study the hospital-community-family linkage nursing symptoms and quality of life in patients with schizophrenia. Methods Sixty patients with psychosis hospitalized in the hospital from April 2016 to May 2016 were conveniently selected and randomly divided into study group and control group， with 30 patients in each group. The control group was given routine treatment and nursing and follow-up after discharge. The study group was given hospital-community-family linkage nursing on the basis of the control group， giving patients high-quality nursing intervention， medication guidance and reasonable rehabilitation training during hospitalization， combined nursing care with community and family after discharge， follow-up was implemented. Comparisons of medication adherence and rehabilitation outcomes between the two groups were performed. Results The medication compliance （93.3%） of patients was stronger than the control group （63.3%）， and the team patients discharged from hospital for a month， three months and six months of rehabilitation efficiency score was significantly higher than the control group. Conclusion The hospital-community-family in patients with schizophrenia family nursing pattern can improve the patients medication adherence and the effect of rehabilitation， to improve treatment effect， so it is worth popularizing in clinical application.

[Key words] Linkage nursing； People with schizophrenia； Quality of life

精神分裂症是临床上一种病因不明的精神病，患者常常有思维、行为以及情感等方面的障碍且精神活动不协调，多数患者在患病过程中存在认知障碍，并且病情迁延不愈，易复发，治疗较困难[1]。目前临床上治疗措施主要是药物治疗，并且没有有效的措施控制病情的反复发作。因精神分裂症病程较长，疗效欠佳以及患者存在认知障碍和家属监督方面的疏漏，导致患者在康复出院的一段时间中存在服药依从性较差、不遵从医嘱的行为，导致病情反复发作甚至难以控制，严重影响了患者的临床治疗效果以及生活质量[2]。……