李洁 姚吉 李晓颖

[關键词] 医院-社区-家庭;无缝对接康复护理干预模式;精神分裂症;个人和社会功能;阳性和阴性症状量表;生存质量评定量表

[中图分类号] R473.74          [文献标识码] B          [文章编号] 1673-9701（2021）29-0167-04

The effect of hospital-community-family seamless rehabilitation nursing intervention model on patients with schizophrenia

LI Jie1   YAO Ji2    LI Xiaoying3

1.Department of Nursing， Shenyang Jing′an Mental Health Hospital， Shenyang   110000， China; 2.Psychiatric Treatment Area Ⅱ， Shenyang Jing′an Mental Health Hospital， Shenyang   110000， China; 3.Psychiatric Treatment Area Ⅰ， Shenyang Jing′an Mental Health Hospital， Shenyang   110000， China

[Abstract] Objective To investigate the effect of hospital-community-family seamless rehabilitation nursing intervention model on patients with schizophrenia. Methods A total of 134 patients with schizophrenia in Shenyang Jing′an Mental Health Hospital from July 2019 to December 2020 were selected as the study subjects. They were divided into the control group （n=67） and the observation group （n=67） according to the randomized paper method. The effects of schizophrenia rehabilitation in both groups were observed. The cognition of patients on schizophrenia-related disease knowledge， the medication compliance scores， scores of the Personal and Social Performance Scale （PSP）， scores of the Positive and Negative Syndrome Scale （PANSS） and scores of the Lancashire Quality of Life Profile （LQOL） before and after the intervention in both groups were observed. Results The overall effective rate of rehabilitation of schizophrenia patients in the observation group was higher than that in the control group， with statistically significant difference（P<0.05）. There were no statistically significant differences between the two groups in the cognition of patients on schizophrenia-related disease knowledge， the medication compliance scores， PSP scores， PANSS scores， and LQOL scores before the intervention （P>0.05）. After the intervention， the cognition of patients on schizophrenia-related disease knowledge， the medication compliance scores， PSP scores and LQOL scores in the two groups were all higher than those before the intervention， while the PANSS scores were lower than those before the intervention. Meanwhile， after the intervention， the cognition of patients on schizophrenia-related disease knowledge， the medication compliance scores， PSP scores and LQOL scores in the observation group were higher than those in the control group， while the PANSS scores were lower than those in the control group， all with statistically significant differences（P<0.05）. Conclusion For patients with schizophrenia， the hospital-community-family seamless rehabilitation nursing intervention model can enhance the rehabilitation effect， knowledge cognition and medication compliance， as well as improve clinical symptoms and quality of life of patients.

[Key words] Hospital-community-family; Seamless rehabilitation nursing intervention model; Schizophrenia; Personal and social performance; Positive and negative symptom scale; Lancashire quality of life profile

精神分裂症属于常见性的精神疾病，其属于高危的精神疾病，具有自我伤害，家庭和社会危害性，成为重大的公共卫生问题[1-2]。很多精神分裂症患者在医院治疗一段时间后，病情处于平稳状态，需要回到社区、家庭继续接受药物治疗，但由于精神分裂症患者病情特点，还是需要医护人员进行监督，从而有效地控制患者的病情[3-4]。医院、社区、家庭是精神分裂症患者不同治疗地点，如何将上述地点护理无缝隙的连接起来，提高患者治疗效率和预后，成为我院研究的热点问题[5-6]。本研究选取2019年7月至2020年12月沈阳静安精神卫生医院134例精神分裂症患者作为研究对象，拟探讨医院-社区-家庭无缝对接康复护理干预模式对精神分裂症患者的影响，现报道如下。

1 资料与方法

1.1一般资料

选取2019年7月至2020年12月沈阳静安精神卫生医院134例精神分裂症患者作为研究对象，依据随机纸片法分为对照组和观察组，每组各67例。对照组男37例，女30例，年龄22～56 岁，平均（35.9±3.8）岁;发病时间1～7年，平均（3.9±0.9）年;复发情况：首次复发40例，二次复发17例，三次及以上10例。观察组男39例，女28例，年龄21～58岁，平均（36.5±4.4）岁;发病时间1～8年，平均（3.8±1.1）年;复发情况：首次复发42例，二次复发14例，三次及以上11例。两组患者一般资料比较，差异无统计学意义（P>0.05），具有可比性。纳入标准：①参照《中国精神障碍分类与诊断标准》中关于精神分裂症患者的诊断标准进行确诊[7]者;②年龄>18岁者;③患者家属均签署知情同意书。……