李柳琎

[摘要]目的 探讨综合性康复护理在首次住院女性精神分裂患者中的应用效果。方法 选取2017年1月～2019年10月我院收治的65例首次住院女性精神分裂患者作为研究对象，按照随机数字表法分为对照组（n=33）与观察组（n=32）。对照组采用常规护理，观察组在对照组基础上采用综合性康复护理，比较两组护理前后简明精神病量表（BPRS）评分、自知力与治疗态度问卷（ITAQ）評分与护理满意度。结果 护理前，两组BPRS及ITAQ评分与服药依从性比较，差异无统计学意义（P>0.05）;护理后，观察组BPRS评分低于对照组，ITAQ评分及服药依从性高于对照组，差异均有统计学意义（P<0.05）。观察组的护理总满意度高于对照组，差异有统计学意义（P<0.05）。结论 首次住院女性精神分裂患者开展综合性康复护理能提升其自知力和满意度，改善其服药依从性，值得推广。

[关键词]精神分裂;首次住院;综合性康复护理;自知力;服药依从性

[中图分类号] R473.74          [文献标识码] A          [文章编号] 1674-4721（2020）7（a）-0240-04

Application effect of comprehensive rehabilitation nursing in initially hospitalized female schizophrenia patients

LI Liu-jin

The First Department of Psychiatry， Baise Second People′s Hospital， Guangxi Zhuang Autonomous Region， Baise   533000， China

[Abstract] Objective To discuss the application effect of comprehensive rehabilitation nursing in initially hospitalized female schizophrenia patients. Methods A total of 65 initially hospitalized female schizophrenia patients admitted from January 2017 to October 2019 in our hospital were selected as research subjects. According to random number table method， patients were divided into control group （n=33） and observation group （n=32）. The routine nursing was performed in the control group; on the basis of the former， the comprehensive rehabilitation nursing was performed in the observation group. Before and after intervention， the brief psychiatric rating scale （BPRS） scores， insight and treatment attitude questionnaire （ITAQ） scores and nursing satisfaction were compared between two groups. Results There were no significant between-group differences in BPRS， ITAQ scores and medicine-taking compliance before intervention （P>0.05）; after intervention， BPRS scores in the observation group were lower than those of control group， ITAQ scores and medication compliance were higher than those of control group， the differences were statistically significant （P<0.05）; the nursing total satisfaction in the observation group was higher than that of control group， with statistical difference （P<0.05）. Conclusion For initially hospitalized female schizophrenia patients， the comprehensive rehabilitation nursing can improve their insight， nursing satisfaction and medication compliance. It is worthy of application.

[Key words] Schizophrenia; Initially hospitalized; Comprehensive rehabilitation nursing; Insight; Medication compliance

精神分裂属于一类原因未明、病程较长同时复发率较高的疾病，临床症状包含妄想、幻想、行为紊乱及思维障碍等，其症状控制与预防反复发作和患者能否坚持用药密切相关，但多数患者用药依从性较低，不能按时用药，最终使病情反复，影响其康复[1-2]。自知力是指患者对疾病的认知、对治疗的依从性及对精神病病理性经验的正确描述与分辨[3]。精神分裂患者对疾病的认知力是精神科临床中的重要內容，能给诊断及鉴别疾病和评估依从性、疗效及预后提供出参考依据[4]。因此，采取有效的护理措施以提升患者的自知力和服药依从性意义重大。伴随护理技术进步，综合康复护理作为临床新型护理方式，其将多类护理措施共同应用到患者疾病康复中，从整体上加快其病情康复，提升其生活质量[5]。但有……