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5E康复干预对慢性精神分裂症患者自理能力的影响

Effects of 5E rehabilitation intervention on self-care ability of patients with chronic schizophrenia

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【作者】 王艳红杜爱英

【Author】 WANG Yanhong;DU Aiying;Department of Psychiatry,Yangzhou Wutaishan,Hospital;Yangzhou Mental Health Prevention Center;

【机构】 江苏省扬州五台山医院精神科扬州市精神卫生防治中心

【摘要】 目的探讨"5E"康复干预对慢性精神分裂症患者生活自理能力的影响。方法 60例慢性精神分裂症患者随机分为研究组和对照组,各30例。2组均予以常规抗精神类药物治疗,对照组常规护理,研究组在对照组基础上实施"5E"康复干预。观察2组入院前及干预后8周自理能力、行为障碍、病情变化情况。结果干预后8周2组ADL评分降低,护士用住院病人观察量表(NOSIE)积极因素评分升高,消极因素评分降低,且研究组ADL及NOSIE各项目评分改善优于对照组,差异有统计学意义(P<0.05或P<0.01)。结论在常规治疗和护理的基础上给予"5E"康复干预,可有效提高精神分裂症患者生活自理能力,提升社会适应能力,促进其早日回归社会。

【Abstract】 Objective To investigate the 5E rehabilitation intervention on self-care ability of patients with chronic schizophrenia.Methods A total of 50 patients with chronic schizophrenia were randomly divided into the study group and the control group,with 30 cases in each group.Both two groups received antipsychotics and conventional nursing care,while the 5E rehabilitation intervention was performed in the study group.The self-care ability was evaluated by activity of daily living(ADL)and the disturbance of behavior was assessed by nurses ’observation scale for inpatient evaluation(NOSIE).Results Patients in both groups achieve an increase in score of ADL and positive factors of NOSIE,and a decrease in negative factor of NOSIE at 8 weeks after intervention(P < 0.05 or P <0.01).Patients in the study group achieved better outcomes of ADL and NOSIE compared with those in the control group at 8 weeks after intervention,with significant difference(P < 0.05 or P < 0.01).Conclusion 5E rehabilitation intervention can improve the self-care ability and social adaptability of patients with chronic schizophrenia.

  • 【文献出处】 中西医结合护理(中英文) ,Nursing of Integrated Traditional Chinese and Western Medicine , 编辑部邮箱 ,2016年11期
  • 【分类号】R473.74
  • 【被引频次】3
  • 【下载频次】30
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