健康教育对精神分裂症患者康复作用.doc

健康教育对精神分裂症患者康复作用 　【摘要】; 目的; 探讨健康教育在精神分裂症患者康复护理中的作用。方法; 选择我院康复期精神分裂症患者58例，随机排序，单号为试验组，双号为对照组。两组患者同时接受常规护理，试验组在此基础上接受健康教育。在实施健康教育前及实施后8周，采用护理观察量表、住院患者康复疗效评定表及自制量表对两组患者进行测评。结果; （1）干预后患者对治疗、护理的依从性和应对技能及疾病相关知识的知晓率比实施前显著提高。（2）两组患者8周前后护士观察量表（NOSIE）和住院患者康复评定量表（IPROS）评分比较有显著变化，试验组优于对照组。结论; 对精神分裂症患者实施健康教育能提高患者对治疗、护理的依从性，改善和缓解症状，有利于促进患者的身心康复。 ; 【关键词】; 健康教育；精神分裂症；康复 ; 【Abstract】; Objective; To explore the role of health education during the nursing process in rehabilitation of schizophrenia patients.Methods; 58 schizophrenic patients during their rehabilitation period were included.They were assigned into two groups randomly.Regular nursing process was conducted both in trial group and control group,while in the trial group simultaneously achieved health education.NOSIE and IPROS were used to assess the two groups both before the trial and 8 weeks after it began.Results; （1）In the trial group,the patients compliance with nursing and medication,their coping skill and their awareness about disease were significantly improved when compared with that before the trial began.（2）Significant differences in the scores of NOSIE and IPROS rating scale occurred both in the two groups before the trial and 8 weeks after it begins.The score of the trial group was in much lower.Conclusion; It is quite beneficial to conduct health education for the schizophrenic patients to improve their compliance with nursing and medication,to ease the symptoms and to fasten their rehabilitation process. ; 【Key words】; health education;schizophrenia;rehabilitation ; 健康教育在健康促进中占主导地位，这已成为人们的共识。精神分裂症作为一种疾病，它的发生、发展与转归也同样受生物-心理-社会等众多因素的影响，对精神患者的健康教育已引起精神科专业人士的高度关注。为了探讨对精神分裂症患者实施健康教育的可行性和近期效果，我院对58例精神分裂症患者进行了对照研究。现报告如下。 ; 1; 对象与方法 ; 1.1; 研究对象; 选择我院长期住院患者，男女不限。入组标准：（1）符合CCMD-Ⅲ精神分裂症的诊断标准；（2）病程3年以上，连续住院1年以上；（3）受教育程度初中以上（含初中）；（4）无严重躯体疾病及智能障碍；（5）顺从性好，监护人合作；（6）除心理治疗及躯体治疗外其他治疗不变（包括药物剂量）。符合上述条件者共58例，随机排序编号，单号为试验组，双号为对照组。男44例，女14例，年龄18～50岁，病程（9.8±6.3）年，治疗用药按抗精神病药物效价折算氯丙嗪剂量300～400mg/d，平均（310.7±96.5）mg/d。两组间各因素比较差异无显著性（P