本刊首页 > 期刊目次 > 多维度康复护理模式对精神分裂患者PANSS评分、FIS评分及社会功能缺陷情况的研究

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多维度康复护理模式对精神分裂患者PANSS评分、FIS评分及社会功能缺陷情况的研究

  • 付文英,余征秀,李奇,熊魏

* 通信作者: 余征秀, 单位:重庆三峡中心医院平湖分院 404000

摘要


目的 探讨多维度康复护理模式对精神分裂患者PANSS评分、FIS评分及社会功能缺陷情况的影响。

方法 选择2014年1月至2015年6与间我院收治的符合国际疾病诊断(ICD-10)精神分裂症诊断标准的患者114例作为研究对象,采用抽签法均分为研究组和对照组各57例,两组患者均给予抗精神药物治疗及住院期间常规护理,治愈出院后对照组患者采用传统康复护理干预,研究组患者采用多维度康复护理模式干预,两组患者均干预24个月。对比分析两组患者干预不同时间点的阳性与阴性症状量表(PANSS)评分、家庭负担会谈量表(FIS)评分及社会功能缺陷筛选量表(SDSS)评分,干预12个月及干预24个月时,患者病情复发及恶化情况。

结果 出院时、干预3个月时两组患者的PANSS评分、FIS评及SDSS评分比较,差异无统计学意义(P>0.05);干预6个月、12个月及24个月后,研究组患者的PANSS评分、FIS评及SDSS评分均明显低于对照组,研究组患者干预12个月及干预24个月时,病情复发及恶化情况明显优于对照组患者,上述差异均有统计学意义(P<0.05)。

结论 采用多维度康复护理模式对精神分裂患者进行干预,可明显改善患者的精神症状、减轻患者家庭负担及恢复患者社会功能,降低病情复发及恶化率。同时应综合考虑康复工作人员的素质、能力水平,地方政策特点,实施本土化的多维度康复护理模式。

关键词:多维度康复护理模式;精神分裂;PANSS评分;FIS评分;SDSS评分

ABSTRACT


Objective To explore the effect of multi-dimensional rehabilitation nursing model on PANSS score, FIS score and social function defect in schizophrenic patients.

Methods A total of 114 patients with schizophrenia diagnosed with international disease diagnosis (ICD-10) were selected from January 2014 to June 2015. The patients were divided into study group and control group.all patients were treated with antipsychotic drugs. The patients in the control group were treated with routine rehabilitation and intervention. The patients in the study group were treated with multidimensional rehabilitation model. The patients were treated for 24 months. (PANSS) score, family burden negotiation scale (FIS) score and social function defect screening scale (SDSS) score were compared between the two groups, the intervention was 12 months and the intervention was 24 months. The positive and negative symptoms scale (PANSS) Month, the patient's condition relapse and deterioration.

Results There were no significant differences in PANSS score, FIS score and SDSS score between the two groups at 3 months after the intervention (P>0.05). After 6 months, 12 months and 24 months, the study group The scores of PANSS, FIS and SDSS were significantly lower in the study group than those in the control group (12 months) and 24 months of intervention. The recurrence and deterioration of the patients were significantly better than those of the control group, the difference was statistically significant (P<0.05).

Conclusion   Intervention of schizophrenic patients by multidimensional rehabilitation model can significantly improve the psychiatric symptoms, reduce the burden of patients and restore the social function of patients and reduce the recurrence rate. At the same time, we should consider the quality of the rehabilitation staff, the level of ability, the characteristics of local policy, the implementation of the localization of multi-dimensional rehabilitation nursing model.

Key words: Multi - dimensional rehabilitation nursing model;Schizophrenia;PANSS score;FIS score;SDSS score

引用本文 / How to Cite This Article

付文英,余征秀,李奇,熊魏.多维度康复护理模式对精神分裂患者PANSS评分、FIS评分及社会功能缺陷情况的研究[J]. 国际精神病学杂志, , (): -

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