Systematic nursing intervention on the impact of illusion -delusional statepatients
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摘要:
目的探讨系统化护理干预对幻觉-妄想状态住院患者护理效果的影响。 方法选取2013年10月~2014年10月在我院住院治疗的幻觉-妄想状态患者60例,随机分为观察组和对照组,每组各30例,对照组采用常规精神科护理,观察组采用系统护理干预,住院观察6个月,采用阳性与阴性症状量表及自制临床疗效评估量表对两组进行评估。 结果两组在PANSS总分、PANSS阳性分等方面均有明显提高,与入组前比较有明显差异(P < 0.05);观察组在PANSS总分、PANSS阳性分等方面改善明显优于对照组,差异有统计学意义;观察组有效率高于对照组,P < 0.05,差异有统计学意义。 结论系统护理干预能够显著改善住院患者的幻觉-妄想状态,在临床中起到积极的作用。 Abstract:ObjectiveTo explore the influence of systematic nursing intervention on illusion-delusional state hospital nursing effect of patients. Methodsfrom 2013~2014 October in our hospital treatment of illusion -patients with delusional state in 60 cases, were randomly divided into observation group and control group, 30 cases in each group, the control group with routine psychiatric nursing, the observation group with systematic nursing intervention, stay in the hospital for observation for 6 months, with the positive and negative symptom scale and self evaluation of clinical efficacy scale of two groups for statistical analysis and comparison. Resultsthe two groups in total score of PANSS, PANSS positive and so on have markedly improved, there is obvious difference compared with before entering the group (P < 0.05); observation group in PANSS total score, PANSS positive and so on improved significantly better than the control group, the difference was statistically significant; the observation group had higher efficiency than the control group, the P < 0.05, with significant difference. Conclusionsystemic nursing intervention can significantly improve the hospitalized patients withhallucinations -delusional state, play a positive role in clinical. -
Key words:
- inpatients /
- illusion-delusional state /
- Systematization
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表 1 两组PANSS总分及PANSS阳性分的比较(x±s)
组別 人组前 人组后 P总 P阳 P总 P阳 对照组 87.20±14.007 20.00±5.612 70.00±15.232Δ 10.60±1.517Δ 观察组 87.2±14.446 19.80±5.891 49.20土7.823*Δ 14.80±3.114*Δ t 0 -0.055 -2.716 -2.711 p 1 0.958 0.035 0.036 表 2 系统护理干预临床治疗效果比较(n=30, %)
组別 有效 进步 无效 T P 观察组 27(90.0) 3(10.0) 0 4.77 < 0.05 对照组 20(66.7) 10(33.3) 0 注:两组间比较, ※P < 0.05;同组间比较ΔP < 0.05. -
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