模块化干预对住院精神分裂症患者康复疗效的影响

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摘要目的探讨模块化干预对住院精神分裂症患者康复疗效的影响。方法选取2019年1～10月九江市第五人民医院收治的100例精神分裂症患者作为研究对象，按入院顺序登记并编号，采用简单随机抽样法将其分为研究组与对照组，每组各50例。对照组患者采用常规化管理模式，研究组患者根据其临床症状分为阳性症状模块组和阴性症状模块组，各模块根据其主要存在的问题进行针对性的干预措施。评估工具采用日常生活活动能力（ADL）和简易生活质量（SF-36）量表。比较两组患者干预前后的ADL评分、SF-36评分及护理总满意度。结果干预前两组患者的ADL评分、SF-36评分比较，差异无统计学意义（P＞0.05）。干预后两组患者的ADL评分均低于干预前，SF-36评分均高于干预前，差异有统计学意义（P＜0.05）；干预后研究组患者的ADL评分低于对照组，SF-36评分高于对照组，差异有统计学意义（P＜0.05）。研究组患者的护理总满意度为94.0%，高于对照组的68.0%，差异有统计学意义（P＜0.05）。结论通过模块化管理对住院精神分裂症患者康复治疗的干预能够为住院精神分裂症患者建立有效的康复干预机制，提高生活质量，为精神科护理的多元化发展提供依据。

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	陈娜

关键词 ：模块化干预, 住院, 精神分裂症, 康复疗效

Abstract：Objective To explore the influence of modular intervention on the rehabilitation effect of inpatients with schizophrenia.Methods A total of 100 patients with schizophrenia admitted to the Fifth People′s Hospital of Jiujiang City from January to October 2019 were registered and numbered according to the admission sequence and divided into the study group and the control group by simple random sampling method,with 50 cases in each group.The control group achieved routine management mode,while the study group was divided into positive symptom module group and negative symptom module group and each module was intervened according to its main problems.Activities of daily living (ADL),simple quality of life (SF-36) scales were used as evaluation tool.The ADL scores,the SF-36 scores before and after intervention and total nursing satisfaction were compared between the two groups.Results There were no statistically significant differences in the ADL scores and the SF-36 scores of the two groups before intervention (P＞0.05).After intervention,the ADL scores of the two groups were lower than those before intervention,the SF-36 scores were higher than those before intervention,and the differences were statistically significant (P＜0.05).After intervention,the ADL score of the study group was lower than that of the control group,the SF-36 score was higher than that of the control group,and the differences were statistically significant (P＜0.05).The total nursing satisfaction of the study group (94.0%) was higher than that of the control group (68.0%),and the difference was statistically significant (P＜0.05).Conclusion The modular intervention on the rehabilitation of inpatients with schizophrenia can establish an effective rehabilitation intervention mechanism,improve the quality of life and provide basis for the diversified development of psychiatric nursing.

Key words： Modular intervention Hospitalized Schizophrenia Rehabilitation effect

基金资助:江西省卫生计生委科技计划项目（20197181）

引用本文:

陈娜. 模块化干预对住院精神分裂症患者康复疗效的影响[J]. 中国当代医药, 2020, 27(31): 62-64-68.
CHEN Na. The influence of modular intervention on the rehabilitation effect of inpatients with schizophrenia. 中国当代医药, 2020, 27(31): 62-64-68.

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https://www.dangdaiyiyao.com/CN/ 或 https://www.dangdaiyiyao.com/CN/Y2020/V27/I31/62

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