Effect of clustering comprehensive nursing intervention on patients with schizophrenia during maintenance period
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摘要: 目的 观察集束化护理干预对维持期精神分裂症患者阴性症状及体重、BMI的影响。 方法 选取在杭州市第七人民医院于2017年3月—2018年3月就诊的维持期精神分裂症患者72例,采用随机数字表法将其分为观察组与对照组,各36例,对照组给予常规护理干预,观察组给予集束化护理干预。为期8周。比较2组患者干预前后PANSS评分、体重及BMI变化情况。 结果 2组干预后PANSS总分、阴性症状评分、体重和BMI[观察组(55.6±8.70)分、(26.6±8.0)分、(70.2±6.6)kg、(24.6±2.5)kg/m2;对照组(59.4±6.9)分、(30.9±7.3)分、(73.8±7.2)kg、(26.2±2.9)kg/m2]差异均有统计学意义(t=-2.053 P=0.044;t=-2.382,P=0.020;t=-2.211,P=0.030;t=-2.507,P=0.014)。在阳性症状评分和一般精神病理评分上[观察组(25.5±6.4)分、(28.3±7.5)分;对照组(24.7±8.6)分、(29.0±6.8)分],2组差异无统计学意义(t=0.448,P=0.656;t=-0.415,P=0.680)。 结论 给予维持期精神分裂症患者集束化护理干预可有效改善其PANSS评分,主要是改善其阴性症状,帮助其更好地管理自身体重及BMI。Abstract: Objective To observe the effects of clustering comprehensive nursing intervention on negative symptoms, body weight and BMI in patients with schizophrenia during maintenance. Methods A total of 72 patients with schizophrenia from March 2017 to March 2018 were collected. The patients were randomly divided into observation group and control group,each 36 controls. Patients in the control group were accepted routine nursing intervention. Patients in the observation group were accepted clustering comprehensive nursing intervention. The intervention lasted for 8 weeks.The total scores of PANSS and the scores of various subscales, body weight and BMI between groups were compared. Results The differences of two groups of the total scores of PANSS, negative symptom scores, the weight and BMI[observation group(55.6±8.7) scores,(26.6±8.0) scores,(70.2±6.6) kg,(24.6±2.5) kg/m2; control group(59.4±6.9) scores,(30.9±7.3) scores,(73.8±7.2) kg,(26.2±2.9) kg/m2] were significantly(t=-2.053, P=0.044; t=-2.382, P=0.020; t=-2.211, P=0.030; t=-2.507, P=0.014). The positive symptoms scores and general psychopathological scores[observation group(25.5±6.4) scores,(28.3±7.5) scores; control group(24.7±8.6) scores,(29.0±6.8) scores] were not significant different(t=0.448, P=0.656; t=-0.415, P=0.680) between the two groups. Conclusion Clustering comprehensive nursing intervention for patients with maintenance schizophrenia can effectively improve their scores of PANSS, especially the negative symptoms, and help them manage their body weight and BMI better.
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Key words:
- Clustering comprehensive nursing /
- Schizophrenia /
- Negative symptoms /
- Weight /
- Body mass index
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