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Application of integrated traditional Chinese and Western medicine clinical nursing pathway management in patients with schizophrenia |
LIANG Xiaoli ZHAO Ruilin LI Meizhi NING Qiuxiang▲ |
Department of Psychiatric, Hu′nan Brain Hospital, Hu′nan Province, Changsha 410007, China |
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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.
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[1] |
Girdler SJ,Confino JE,Woesner ME.Exercise as a Treatment for Schizophrenia:A Review[J].Psychopharmacol Bull,2019,49(1):56-69.
|
[2] |
王春燕,翁晓青,王欣,等.精神分裂症患者照顾者心理痛苦及其影响因素研究[J].护理管理杂志,2020,20(7):508-511.
|
[3] |
Wang D,Ma J,Tan L,et al.Epidemiology of severe mental illness in Hunan province in central China during 2014-2015:A multistage cross-sectional study[J].PLoS One,2017,12(11):e0188312.
|
[4] |
甄文凤,马辛,林祥吉,等.男性精神障碍患者肇事肇祸行为相关因素研究[J].中国全科医学,2020,23(14):1790-1795.
|
[5] |
Cho W,Shin WS,An I,et al.Biological Aspects of Aggression and Violence in Schizophrenia[J].Clin Psychopharmacol Neurosci,2019,17(4):475-486.
|
[6] |
Anderson AE,Marder S,Reise SP,et al.Bifactor Modeling of the Positive and Negative Syndrome Scale:Generalized Psychosis Spans Schizoaffective,Bipolar,and Schizophrenia Diagnoses[J].Schizophr Bull,2018,44(6):1204-1216.
|
[8] |
陈玲,范丽玫,黄春艳,等.临床护理路径对精神分裂症缓解期患者的影响[J].齐鲁护理杂志,2020,26(1):87-89.
|
[10] |
Tajima-Pozo K,de Castro Oller MJ,Lewczuk A,et al.Understanding the direct and indirect costs of patients with schizophrenia[J].F1000Res,2015,4:182.
|
[11] |
刘平,陈登国.2005~2014年重庆市江北区精神分裂症患者住院费用调查分析[J].重庆医学,2016,45(16):2252-2254.
|
[12] |
翟金国,赵靖平,陈晋东,等.湘鲁两个医疗机构精神分裂症患者经济负担的调查[J].中华精神科杂志,2007,40(1):41-44.
|
[14] |
Rhee TG,Rosenheck RA.Does improvement in symptoms and quality of life in chronic schizophrenia reduce family caregiver burden?[J].Psychiatry Res,2019,271:402-404.
|
[7] |
Okasha TA,Radwan DN,Elkholy H,et al.Psycho -demographic and clinical predictors of medication adherence in patients with bipolar I disorder in a university hospital in Egypt[J].S Afr J Psychiatr,2020,26:1437.
|
[9] |
Wang QW,Hou CL,Wang SB,et al.Frequency and correlates of violence against patients with schizophrenia living in rural China[J].BMC Psychiatry,2020,20(1):286.
|
[13] |
Laila NH,Mahkota R,Krianto T,et al.Perceptions about pasung (physical restraint and confinement) of schizophrenia patients:a qualitative study among family members and other key stakeholders in Bogor Regency,West Java Province,Indonesia 2017[J].Int J Ment Health Syst,2018,12:35.
|
[15] |
刘鹏,朱晓丹,闫莉枞,等.微信健康教育对精神分裂症患者服药依从性及生活质量的影响[J].中国健康教育,2021,37(5):466-468.
|
[16] |
裴亚云.心理护理对康复期精神分裂症患者抑郁情绪及生活质量的影响[J].中国药物与临床,2020,20(16):2824-2826.
|
[17] |
莫燕琼.优质护理与传统护理在住院精神分裂症患者护理中的应用比较[J].中外医学研究,2018,16(13):114-116.
|
[18] |
秦丽,周郁秋,李英丽.精神分裂症患者服药自我管理行为改变特征的质性研究[J].护理学杂志,2020,35(2):91-93,98.
|
[19] |
李艳丽,骆伟玲,陈少英.医患共同决策对精神分裂症患者PANSS 评分、AHRS 评分及疾病认知度的影响[J].中国医药科学,2021,11(16):129-131,165.
|
[20] |
李凤珍,郑素芬,梁梅菊.个案管理模式对慢性住院精神分裂症患者康复的影响[J].中国当代医药,2021,28(6):180-182.
|
[21] |
刘蓉,廖翠丽,赵林丽.多学科服务团队对社区精神分裂症患者综合干预的影响分析[J].当代医学,2020,26(34):136-137.
|
[22] |
刘振红,韩彩欣,王立洋,等.脑梗死住院患者诊疗中的过度医疗行为分析[J].中国全科医学,2012,15(4):415-417.
|
|
|
|