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目的探讨综合护理对衰退期精神分裂症患者社会功能康复的影响。方法选取2012年4月—2015年7月徐州精神病院收治的衰退期精神分裂症患者60例,随机分为对照组与观察组,各30例。对照组给予常规护理,观察组患者在常规护理基础上给予综合护理干预。比较两组患者的社会功能缺陷筛选量表(SDSS)评分及住院患者观察量表(NOSIE)评分。结果护理前两组患者SDSS评分比较,差异无统计学意义(P>0.05);护理后观察组SDSS评分低于对照组,差异有统计学意义(P<0.05)。护理后观察组NOSIE评分(包括不耐烦、易生气、易发火、激动发牢骚、不如意心烦、拒绝做日常事务)低于对照组,差异有统计学意义(P<0.05)。结论衰退期精神分裂症患者在常规治疗的基础上配合良好的综合护理干预,可提高患者生活质量及社会适应能力,对患者预后具有促进作用。
Objective To explore the effect of comprehensive nursing on the social rehabilitation of patients with schizophrenia in the recession. Methods Sixty patients with schizophrenia in decline during April 2012 to July 2015 in Xuzhou mental hospital were randomly divided into control group and observation group, with 30 cases in each group. The control group was given routine care, and the observation group was given comprehensive nursing intervention on the basis of routine nursing. Social-function deficit screening (SDSS) scores and in-patient patient rating (NOSIE) scores were compared between the two groups. Results There was no significant difference in SDSS score between the two groups before nursing (P> 0.05). SDSS score of the observation group after nursing was lower than that of the control group (P <0.05). After nursing, the NOSIE score of the observation group (impatient, easy to get angry, easy to get angry, agitated, unhappy, refused to do routine affairs) was lower than the control group, the difference was statistically significant (P <0.05). Conclusions Patients with schizophrenia in declination on the basis of conventional treatment with a good comprehensive nursing intervention can improve the quality of life of patients and social adaptability, and promote the prognosis of patients.