中西结合护理临床路径管理在精神分裂症患者中的应用

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摘要目的探讨中西结合护理临床路径对精神分裂症患者的影响。方法回顾性分析2017年6月至2018年6月湖南省脑科医院收治的234 例精神分裂症患者的临床资料，按治疗方法不同将其分为对照组（116 例）与试验组（118 例）。对照组患者采用精神分裂症常规护理，试验组患者采用中西结合护理临床路径。比较两组患者的住院天数、住院费用、2年内住院次数、治疗前后的阳性与阴性症状（PANSS）量表、自知力与治疗态度问卷（ITAQ）评分、疗效以及患者住院天数、住院费用、2年内住院次数与治疗后量表评分的关系。结果试验组患者的住院天数短于对照组，住院费用低于对照组，2年内住院次数少于对照组，差异有统计学意义（P<0.05）。治疗后，两组患者的PANSS 量表阳性症状、阴性症状、一般症状、PANSS 总分低于治疗前，ITAQ 量表评分高于治疗前，差异有统计学意义（P<0.01）；治疗后，试验组患者的PANSS 量表阳性症状、阴性症状、一般症状、PANSS 总分低于对照组，ITAQ量表评分高于对照组，差异有统计学意义（P<0.05）。试验组患者的疗效优于对照组，差异有统计学意义（P<0.05）。患者的住院费用与治疗后PANSS 阳性症状及总分成正相关（P<0.05）；2年内住院次数与PANSS 总分呈正相关（P<0.05）。结论中西结合护理临床路径管理有利于精神分裂症患者临床症状及自知力改善，且能缩短患者住院天数、降低住院费用、减少住院次数，有着良好的经济学效益，值得进一步推广。

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	梁小丽
	赵瑞林
	李梅枝
	宁秋香

关键词 ：精神分裂症, 中西结合护理临床路径, 临床症状, 自知力

Abstract：Objective To investigate the effect of integrated traditional Chinese and Western medicine clinical nursing pathway on patients with schizophrenia. Methods The clinical data of 234 schizophrenic patients admitted to Hunan Brain Hospital from June 2017 to June 2018 were retrospectively analyzed, and they were divided into control group(116 cases) and experimental group (118 cases) according to different treatment methods. Patients in the control group were treated with routine nursing of schizophrenia, and patients in the experimental group were treated with clinical nursing path combining Chinese and Western nursing. The length of stay, hospitalization cost, hospitalization times within 2 years, positive and negative symptom scale (PANSS) scale, insight and treatment attitude questionnaire (ITAQ)score before and after treatment, efficacy and the relationship between length of stay, hospitalization cost, hospitalization times within 2 years and post treatment scale score were compared between the two groups. Results The length of stay of the experimental group was shorter than that of the control group, the hospitalization cost was lower than that of the control group, and the hospitalization times within 2 years was less than that of the control group, the differences were statistically significant (P<0.05). After treatment, the positive symptoms, negative symptoms, general symptoms and total PANSS score of PANSS in the two groups were lower than those before treatment, and the ITAQ scores were higher than those before treatment, the differences were statistically significant (P<0.01). After treatment, the positive symptoms, negative symptoms, general symptoms and total PANSS scores of the experimental group were lower than those of the control group, and the ITAQ scores were higher than those of the control group, the differences were statistically significant (P<0.05). The therapeutic effect of experimental group was better than that of the control group, and the difference was statistically significant (P<0.05). The hospitalization cost of patients was positively correlated with PANSS positive symptoms and total percentage after treatment (P<0.05). The number of hospitalizations within 2 years was positively correlated with PANSS (P<0.05). Conclusion Integrated traditional Chinese and Western medicine clinical nursing pathway management is beneficial to improve the clinical symptoms and insight of patients with schizophrenia, and can shorten hospital stay, reduce hospitalization costs and hospitalization times in good economic benefits, which is worthy of further promotion.

Key words： Schizophrenia Integrated traditional Chinese and Western medicine clinical nursing pathway Clinical symptoms Insight

基金资助:湖南省自然科学基金立项项目（2019JJ80025）；湖南省卫生健康委科研计划课题（C2019038）；湖南省科技创新计划项目（2020SK50801）；湖南省卫生健康委一般指导课题（202214052635）；湖南省脑科医院院级科研计划课题（2017D01、2018D07）。

引用本文:

梁小丽；赵瑞林；李梅枝；宁秋香. 中西结合护理临床路径管理在精神分裂症患者中的应用[J]. 中国当代医药, 2022, 29(9): 166-170.
LIANG Xiaoli；ZHAO Ruilin；LI Meizhi；NING Qiuxiang. Application of integrated traditional Chinese and Western medicine clinical nursing pathway management in patients with schizophrenia. 中国当代医药, 2022, 29(9): 166-170.

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https://www.dangdaiyiyao.com/CN/ 或 https://www.dangdaiyiyao.com/CN/Y2022/V29/I9/166

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