Effect of three-dimensional individualized nursing on prognosis and rehabilitation of female patients with schizophrenia
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摘要:目的
探讨个性化三维护理对女性精神分裂症患者预后康复和生活质量的改善效果。
方法选取2019年4月—2020年4月住院治疗的女性精神分裂症患者220例为研究对象，按随机双盲法分为观察组和对照组，每组110例。2组均接受常规护理，观察组在对照组基础上给予个性化三维护理。比较2组患者出院后的用药依从度、医学知识认知度、复发率和生命质量。
结果经过8周护理，对照组的用药依从度为50.91%(56/110), 医学知识认知度为47.27%(52/110), 复发率为32.73%(36/110); 观察组的用药依从度为75.45%(83/110), 医学知识认知度为93.64%(103/110), 复发率为10.91%(12/110)。观察组用药完全依从度、医学知识认知度高于对照组，复发率低于对照组，差异有统计学意义(P < 0.05)。观察组的生命质量高于对照组，差异有统计学意义(P < 0.05)。
结论个性化三维护理能有效提高女性精神分裂症患者的药物依从度、医学知识认知度和生命质量，降低其出院后复发率。
Abstract:ObjectiveTo explore the effect of three-dimensional individualized nursing on prognosis rehabilitation and quality of life of female schizophrenia.
MethodsA total of 220 female patients with schizophrenia hospitalized from April 2019 to April 2020 were selected as research objects, and divided into the observation group and the control group according to the random double-blind method, with 110 cases in each group. Both groups received routine nursing, and the observation group was given three-dimensional individualized nursing on the basis of the control group. The medication compliance rate, medical knowledge awareness, recurrence rate and quality of life were compared between the two groups after discharge.
ResultsAfter 8 weeks of nursing, the drug compliance rate of the control group was 50.91%(56/110), the awareness of medical knowledge was 47.27% (52/110), and the recurrence rate was 32.73%(36/110). In the observation group, the medication compliance rate was 75.45%(83/110), the awareness of health knowledge was 93.64%(103/110), and the recurrence rate was 10.91%(12/110). The drug complete compliance rate and medical knowledge awareness of the observation group were significantly higher than those of the control group, and the recurrence rate was significantly lower than that of the control group (P < 0.05). The quality of life in the observation group was significantly higher than that in the control group (P < 0.05).
ConclusionThree-dimensional individualized nursing can effectively improve the medication compliance, medical knowledge awareness and quality of life of female patients with schizophrenia, and reduce the recurrence rate after discharge.
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表 1 护理8周后2组用药依从度比较[n(%)]
组别 不依从 部分依从 完全依从 观察组(n=110) 8(7.27) 19(17.28) 83(75.45)* 对照组(n=110) 33(30.00) 21(19.09) 56(50.91) 与对照组比较, *P < 0.05。 
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表 2 护理8周后2组医学知识认知度和复发率比较[n(%)]
组别 医学知识认知度 复发 观察组(n=110) 103(93.64)* 12(10.91)* 对照组(n=110) 52(47.27) 36(32.73) 与对照组比较, *P < 0.05。
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表 3 干预前后2组MRSS和BPRS评分比较(x±s)
分 组别 MRSS评分 BPRS评分 干预前 干预后 干预前 干预后 观察组(n=110) 57.93±3.85 29.36±5.24* 39.30±7.18 20.29±6.31* 对照组(n=110) 58.23±7.12 49.51±6.39 39.81±6.28 28.36±8.01 BPRS: 简明精神病评定量表; MRSS: 康复状态量表。与对照组比较, *P < 0.05。
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表 4 干预前后2组生命质量比较(x±s)
分 组别 时点 生理机能 心理机能 社会功能 日常生活能力 观察组(n=110) 干预前 39.76±10.31 45.19±13.90 45.58±10.21 46.95±11.63 干预后 46.88±11.15* 54.63±10.26* 53.39±11.96* 53.86±10.54* 对照组(n=110) 干预前 37.85±11.22 46.28±12.81 45.67±11.30 45.86±10.72 干预后 37.68±8.92 41.35±10.69 39.43±11.25 54.47±10.37 与对照组比较, *P < 0.05。
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