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目的探讨基于Orem理论的日间照料护理在慢性精神分裂症患者康复中的应用效果。方法随机选取慢性精神分裂症患者110例,随机分为2组,各55例,对照组采用常规护理,观察组采用基于Orem理论的日间照料护理,比较2组康复效果。结果护理前,2组社会功能缺陷筛选量表(SDSS)、简明精神病评定量表(BPRS)、阳性与阴性症状量表(PANSS)评分的比较差异无统计学意义(P均>0.05),护理后,全部患者上述评分明显低于护理前,其中观察组明显低于对照组(P<0.05)。护理前,2组自尊量表(SES)、总体幸福感量表(GWBS)评分比较差异均无统计学意义(P均>0.05),护理后,全部患者上述评分明显高于护理前(P均<0.05),观察组明显高于对照组(P均<0.05)。观察组护理满意度明显高于对照组(P<0.05)。结论基于Orem理论的日间照料护理在慢性精神分裂症患者康复中的应用效果显著,有助于明显改善精神症状,改善社会功能、自尊行为与幸福感,从而提高护理满意度,值得临床推广应用。
Objective To investigate the effect of day care on the rehabilitation of patients with chronic schizophrenia based on Orem theory. Methods A total of 110 patients with chronic schizophrenia were randomly divided into two groups (n = 55). The control group received routine nursing. The observation group received day care based on Orem theory. The rehabilitation effects of the two groups were compared. Results Before treatment, there were no significant differences in SDSS, BPRS and PANSS between the two groups (all P> 0.05). Nursing Afterwards, the scores of all patients were significantly lower than those before nursing, in which the observation group was significantly lower than the control group (P <0.05). Before nursing, there was no significant difference in scores of SES and GWBS between the two groups (all P> 0.05). After nursing, the score of all patients was significantly higher than that before nursing (P <0.05), the observation group was significantly higher than the control group (all P <0.05). The nursing satisfaction in observation group was significantly higher than that in control group (P <0.05). Conclusion The Orem theory of day care in the rehabilitation of patients with chronic schizophrenia has a significant effect on the rehabilitation, helps to significantly improve mental symptoms, improve social function, self-esteem and happiness, thereby enhancing the satisfaction of nursing is worthy of clinical application .