Advance Search
LIU Ying. Effect of active psychological support combined with stratified nursing in elderly patients with schizophrenia[J]. Journal of Clinical Medicine in Practice, 2019, 23(8): 108-110, 114. DOI: 10.7619/jcmp.201908030
Citation: LIU Ying. Effect of active psychological support combined with stratified nursing in elderly patients with schizophrenia[J]. Journal of Clinical Medicine in Practice, 2019, 23(8): 108-110, 114. DOI: 10.7619/jcmp.201908030
shu

Effect of active psychological support combined with stratified nursing in elderly patients with schizophrenia

  • Geriatrics Department, Xi′an Mental Health Center, Xi′an, Shaanxi, 710100

More Information
  • Received Date: January 02, 2019
  • Accepted Date: March 09, 2019
  • Available Online: December 03, 2020
  • Published Date: April 27, 2019
    Graphical Abstract
    • Abstract
  •   Objective  To analyze the effect of positive psychological support combined with stratified nursing on the psychological status and cognitive function in elderly schizophrenic patients.
      Methods  A total of 90 elderly patients with schizophrenia in our hospital were selected as the study subjects. According to the random number table method, they were divided into control group and observation group, with 45 cases per group. Patients in the control group received routine nursing, while those in the observation group received positive psychological support combined with stratified nursing. After 12 weeks of nursing, patients′psychological status was assessed by Hamilton Depression Scale (HAMD), and cognitive function by Wisconsin Card Classification Test (WCST).
      Results  Before nursing, there were no significant differences in HAMD score and WCST factor score between the two groups (P>0.05). After nursing, HAMD score of the two groups, Errors Responses Percentage (Rep), Perseverative Responses (Rp) and The First Response (R1st) score of WCST decreased significantly, while the scores of Categories Completed (Cc) were significantly higher than nursing before(P < 0.05). The HAMD scores after nursing were significantly lower, the scores of Rep, Rp and R1st of WCST were also significantly decreased, and the scores of Cc of the observation group were significantly higher than those of the control group (P < 0.05).
      Conclusion  Positive psychological support combined with hierarchical nursing model can significantly improve the psychological status and cognitive function of the elderly with schizophrenia.
    • FullText(HTML)
    • References (20)
  • [1]
    吴霞, 翟丽丽. 比较奥氮平与利培酮在老年精神分裂症方面的疗效与安全性[J]. 中国卫生标准管理, 2017, 8(16): 88-89. doi: 10.3969/j.issn.1674-9316.2017.16.047
    [2]
    张爱慧. 奥氮平治疗老年精神分裂症患者的临床疗效及对认知功能的改善作用[J]. 实用临床医药杂志, 2017, 21(1): 154-155. doi: 10.7619/jcmp.201701054
    [3]
    祝子安, 刘丽, 刘小艳. 55例老年精神分裂症伴高血压患者的临床护理研究[J]. 中西医结合心血管病电子杂志, 2017, 5(1): 152-152. doi: 10.3969/j.issn.2095-6681.2017.01.116
    [4]
    刘文宇, 王书友, 陈霞, 等. 积极心理学在老年期精神分裂症患者护理中的应用[J]. 国际医药卫生导报, 2018, 24(2): 271-274. doi: 10.3760/cma.j.issn.1007-1245.2018.02.040
    [5]
    熊玲玲, 郑丽花, 吴培清, 等. 分层护理在血液透析患者临床护理中的应用效果[J]. 护士进修杂志, 2017, 32(10): 926-928. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX201710025.htm
    [6]
    廖金敏, 刘琦, 姜思思, 等. 精神分裂症幻听的静息态脑网络研究[J]. 中国心理卫生杂志, 2017, 31(5): 337-344. doi: 10.3969/j.issn.1000-6729.2017.05.001
    [7]
    沈丽桃, 邓云龙. 悦纳进取与主观幸福感的关系[J]. 中华行为医学与脑科学杂志, 2018(3): 272-276. doi: 10.3760/cma.j.issn.1674-6554.2018.03.017
    [8]
    王兰. 心理护理改善抑郁症患者认知功能的效果分析[J]. 中国继续医学教育, 2017, 9(1): 246-247. doi: 10.3969/j.issn.1674-9308.2017.01.152
    [9]
    王勇, 陈祖金, 杨勇. 奥氮平治疗老年精神分裂症的效果及其安全性分析[J]. 中国健康心理学杂志, 2017, 25(10): 1465-1468. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL201710007.htm
    [10]
    王兆星. 人文关怀在恢复期精神分裂症护理中的应用分析[J]. 中国基层医药, 2018, 25(3): 399-399. doi: 10.3760/cma.j.issn.1008-6706.2018.03.035
    [11]
    王向林, 侯丽华, 刘惠秋, 等. 精细化管理在老年精神分裂症患者中的应用[J]. 护理实践与研究, 2017, 14(9): 143-145. doi: 10.3969/j.issn.1672-9676.2017.09.063
    [12]
    陈莹. 积极心理学理论在精神分裂症康复护理中的应用效果[J]. 实用临床护理学电子杂志, 2017, 2(36): 138-138, 143. doi: 10.3969/j.issn.2096-2479.2017.36.108
    [13]
    王彬, 孙莉, 陈兴, 等. 综合性干预对精神分裂症患者社会功能及生活质量的疗效[J]. 国际精神病学杂志, 2017, 44(2): 38-41.
    [14]
    费惠慧, 王强, 张蓉. 积极心理学在住院精神分裂症病人护理中的运用效果研究[J]. 影像研究与医学应用, 2018, 2(12): 244-245. doi: 10.3969/j.issn.2096-3807.2018.12.158
    [15]
    陶婷婷. 积极心理学理论在精神分裂症康复护理中的应用效果探析[J]. 首都食品与医药, 2019, 26(2): 158-158. https://www.cnki.com.cn/Article/CJFDTOTAL-YYSD201902144.htm
    [16]
    赵静. 护士分层护理管理在护理管理中的应用价值分析[J]. 中国卫生产业, 2017, 14(4): 106-107. https://www.cnki.com.cn/Article/CJFDTOTAL-WSCY201704050.htm
    [17]
    曹红军, 易正金, 何俊琴. 分层管理模式在护理工作管理中的应用研究[J]. 实用临床医药杂志, 2016, 20(16): 230-232. doi: 10.7619/jcmp.201616079
    [18]
    钱燕, 王海燕, 周玲. 分阶段康复指导计划在全膝关节置换术后患者康复中的应用效果的研究[J]. 实用临床医药杂志, 2017, 21(2): 101-104. doi: 10.7619/jcmp.201702032
    [19]
    童小均, 袁蕊, 沈小静. 层级管理模式对精神科护理质量的影响[J]. 检验医学与临床, 2016, 13(7): 982-984. https://www.cnki.com.cn/Article/CJFDTOTAL-JYYL201607053.htm
    [20]
    刘启兰. 探讨比较不同护理管理模式在提高传染病病房护理质量中的效果[J]. 中国卫生标准管理, 2017, 8(6): 129-130. https://www.cnki.com.cn/Article/CJFDTOTAL-WSBZ201706080.htm
    • Related Articles

  • Related Articles

    [1]WU Jing, ZHANG Ying, XIAO Wenhuan. Effect of group psychodrama therapy on depression, self-esteem and coping ability in perimenopausal patients with schizophrenia[J]. Journal of Clinical Medicine in Practice, 2025, 29(1): 125-129, 143. DOI: 10.7619/jcmp.20242924
    [2]XUE Jing, XIAO Wenhuan, YAO Jing, ZHANG Jun. Effects of lurasidone on efficacy and cognitive function of patients with schizophrenia[J]. Journal of Clinical Medicine in Practice, 2023, 27(13): 57-60. DOI: 10.7619/jcmp.20231119
    [3]ZHAO Xiaoya, TANG Xiaowei, XIAO Wenhuan, DONG Wei. Effect of repetitive transcranial magnetic stimulation combined with amisulpride in treatment of schizophrenia and its influence on cognitive function[J]. Journal of Clinical Medicine in Practice, 2022, 26(23): 89-91, 96. DOI: 10.7619/jcmp.20222325
    [4]YU Ping, XIAO Wenhuan, ZHAO Yilin, ZHAO Xiaoya. Effect of amisulpride on social function and neurocognition of adolescents with schizophrenia[J]. Journal of Clinical Medicine in Practice, 2021, 25(22): 67-70. DOI: 10.7619/jcmp.20211561
    [5]WANG Junhua, LI Ling. Influence of comprehensive nursing intervention on cognitive function in first-episode male schizophrenic patients[J]. Journal of Clinical Medicine in Practice, 2018, (12): 37-40. DOI: 10.7619/jcmp.201812011
    [6]LI Xiaojuan, LI Junli. Analysis of the effect of psychological nursing on psychological status and cardiac function of elderly patients with coronary heart disease[J]. Journal of Clinical Medicine in Practice, 2017, (22): 10-12. DOI: 10.7619/jcmp.201722004
    [7]PENG Fu, HUANG Zaiwen, LIANG Yaowu. Effect of atorvastatin on blood lipids levels and cognitive function of patients with different stages of vascular cognitive impairment[J]. Journal of Clinical Medicine in Practice, 2016, (9): 29-31,40. DOI: 10.7619/jcmp.201609008
    [8]XU Qiong, MEI Shuangyan. The effect of antipsychotic drugs combined with psychological intervention on cognitive and social function in schizophrenic patients[J]. Journal of Clinical Medicine in Practice, 2015, (10): 99-101. DOI: 10.7619/jcmp.201510031
    [9]LEI Yu'e. Psychological assessment and nursing intervention for elderly patients with functional dyspepsia[J]. Journal of Clinical Medicine in Practice, 2013, (20): 50-52. DOI: 10.7619/jcmp.201320017
    [10]TANG Xiaowei, GEN Deqin, SHA Weiwei, ZHANG Xiaobin, ZHOU Chaoyun. Research of cognitive function in deficit schizophrenia[J]. Journal of Clinical Medicine in Practice, 2013, (11): 59-61. DOI: 10.7619/jcmp.201311019

  • Cited by

    Periodical cited type(34)

    1. 孟慧霞，张冉冉，张甜，姚玲玲，吕晓云，刘敏. 积极心理护理对精神分裂症患者生活质量及护理满意度的影响. 心理月刊. 2025(01): 118-120 .
    2. 王士贞，尤坤，郝艳玲. 整合式心理护理在老年偏执型精神分裂症患者中的护理效果. 医学信息. 2024(06): 159-162 .
    3. 杨小燕. 基于时效激励理论的护理干预对老年精神分裂症患者心理弹性精神病评定量表 临床总体印象量表评分影响. 基层医学论坛. 2024(28): 93-96 .
    4. 谢彬，刘敏，张欣. 耳穴压豆联合鲁拉西酮对女性精神分裂症合并睡眠紊乱的负性情绪及睡眠质量的影响. 罕少疾病杂志. 2024(10): 19-20 .
    5. 刘克坤，李艳，王美倩. 妇产科护理管理中护士分层管理对护理工作质量的影响. 中国卫生产业. 2024(17): 80-82 .
    6. 王胜男. 整合式心理护理对精神分裂症患者自我感受负担、负性情绪及遵医行为的影响. 航空航天医学杂志. 2023(01): 77-79 .
    7. 苏璐，庄倩倩，陆鑫. 基于时间护理理念的积极心理学模式对精神分裂症患者危险行为、精神症状及生活质量的影响. 国际护理学杂志. 2023(09): 1599-1603 .
    8. 马春梅，陈凤，刘倩. 心理护理与语言沟通对精神疾病患者的影响. 心理月刊. 2023(08): 175-177 .
    9. 张畅. 积极心理学护理对卵巢癌化疗患者应对策略、创伤后成长的影响. 当代护士(中旬刊). 2023(06): 91-95 .
    10. 陈玲，陈桂英，郑桂彬，李田妹，温财文，许锦泉，陈康霞，张艺. 心理干预联合保护性约束管理对降低精神科患者暴力行为的影响观察. 现代诊断与治疗. 2023(10): 1554-1556 .
    11. 李金娟，张笑梅，孙伟伟. 积极心理学理论指导下的护理模式在精神分裂症患者中的应用效果. 心理月刊. 2023(12): 111-113 .
    12. 邹少娜. 社会支持护理对长期住院老年精神分裂症患者护理效果的影响. 岭南急诊医学杂志. 2023(06): 646-648 .
    13. 杨海鸥，傅春江，宋金颖，徐会培. 护士分层管理在妇产科护理管理中的应用. 妇儿健康导刊. 2023(01): 180-182 .
    14. 李雪晖，区颖怡，张艳萍，林进榕. 循证护理干预在男性精神分裂症患者中的应用效果. 中国当代医药. 2022(03): 191-194 .
    15. 禹佳，朱宗霞，杨垒垒. 个性化心理护理对精神分裂症康复期患者的作用. 心理月刊. 2022(06): 49-51 .
    16. 于秀梅，王岩，金玉玉，毛红岩，程晓东. 精神分裂症恢复期应用团体生物反馈疗法及心理护理的效果. 临床与病理杂志. 2022(04): 854-859 .
    17. 李艺楠，马涛，张磊. 有氧-抗阻运动联合分层干预在维持性血液透析患者中的应用. 中国医药导报. 2022(12): 168-172 .
    18. 崔倩，刘宁，欧阳小芬，王美，汪丹，谭凤玲. 冲动行为干预在精神分裂症患者中的护理效果及对服药依从性的影响. 反射疗法与康复医学. 2022(10): 115-118+158 .
    19. 霍雨佳，马瑞. 分层护理对妇科恶性肿瘤患者负性情绪的影响. 临床医学研究与实践. 2022(25): 183-185 .
    20. 邢淑洁. 基于积极心理学联合动机性访谈的延续性护理干预在脑卒中患者中的应用效果. 中华现代护理杂志. 2022(23): 3165-3169 .
    21. 肖桂凤，陈志春. 心理弹性支持配合认知护理在精神分裂症并失眠患者中的应用效果. 中国当代医药. 2022(26): 193-196 .
    22. 王敏，王文玲，蒋红，吴荣琴. 希望疗法联合积极心理学理论对住院精神分裂症患者康复效果及生活质量的影响研究. 贵州医药. 2022(09): 1482-1483 .
    23. 陈雯，凌蜜，许悦恒. 人文关怀在恢复期精神分裂症患者护理中的临床应用. 心理月刊. 2022(23): 51-53+68 .
    24. 张以新，何荣寿. 老年精神分裂症患者护理中应用临床路径引导的康复护理模式效果及生活质量影响. 保健文汇. 2021(01): 114-115 .
    25. 邢永艳，宗丽霞，翟如娜. 心理护理干预对精神分裂症患者心理状态及生活质量影响评价. 心理月刊. 2021(04): 163-164 .
    26. 张蕾蕾. 人文关怀理念下的整合式心理护理对精神分裂症患者自我感受负担、负性情绪及遵医行为的影响. 中国医药指南. 2021(23): 126-127 .
    27. 孙平，王艳. 自杀风险量化评估策略下动态干预对精神分裂症患者危险行为的影响. 中国药物与临床. 2021(17): 2923-2925 .
    28. 丁凤娇，吴晓泓. 精神分裂症合并失眠症患者的心理弹性支持及认知护理干预研究. 河北医药. 2021(18): 2867-2869+2873 .
    29. 肖斌琼，谭晓林，尹泉. 积极心理学护理联合膳食调节对肠易激综合征患者的临床应用. 中国医药科学. 2021(18): 117-120 .
    30. 王光霞，王柳，刘阳阳，彭婉，谢静茹. 量化评估导向的双分护理联合KTH整合式管理在老年脑卒中后抑郁患者中的应用效果. 中国医学创新. 2021(35): 101-105 .
    31. 田丽，李萍. 精神分裂症康复护理中采用积极心理学理论的效果分析. 长寿. 2020(02): 195 .
    32. 杨娜，宫晓鸿，章艳. 精神分裂症患者自我病耻感与病耻抵抗的影响因素及基于“积极心理学理论”的护理效果分析. 长春中医药大学学报. 2020(06): 1282-1285 .
    33. 李爱丽. 积极心理学护理模式对老年抑郁症患者自尊水平及社会功能的影响. 检验医学与临床. 2020(23): 3502-3505 .
    34. 许惠英. 基于同感心理论的心理护理对精神分裂症患者心理状态的影响. 名医. 2020(19): 111-112 .

    Other cited types(0)

Catalog

    Get Citation
    PDF
    XML
    Article views (304) PDF downloads (5) Cited by(34)
    Turn off MathJax
    Article Contents
    Abstract
    References
    Related Articles

    © 2020 《实用临床医药杂志》编辑部

    Address: 江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室China Pos: 225009Tel: 0514-87978917、87978989、87978807

    苏公网安备 32100302010246号

    Supported by: Beijing Renhe Information Technology Co., Ltd.   Baidu Analytics

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return