摘要
目的观察个案管理模式下的延续性护理对老年精神分裂症患者社会功能及生活质量的影响效果。方法 120例老年精神分裂症患者为研究样本,以随机数字表法分为常规延续性护理组与个案管理延续性护理组,各60例。常规延续性护理组患者于出院后接受来自于住院责任护士的电话随访式延续性护理,个案管理延续性护理组患者按个案管理模式开展延续性护理。比较两组患者干预前后的社会功能缺陷筛选量表(SDSS)及Barthel指数。结果干预前,两组患者的SDSS评分比较,差异无统计学意义(P>0.05);干预后,个案管理延续性护理组患者的SDSS评分为(5.38±1.01)分,低于常规延续性护理组的(9.70±1.42)分,差异具有统计学意义(P<0.05)。干预前,两组患者的Barthel指数比较,差异无统计学意义(P>0.05);干预后,个案管理延续性护理组患者的Barthel指数为(82.93±2.38)分,高于常规延续性护理组的(72.05±4.26)分,差异具有统计学意义(P<0.05)。结论在老年精神分裂症患者中引入个案管理模式下的延续性护理干预,可助其获得社会功能及生活质量的双重改善。
Objective To observe the effect of continuous nursing in case management mode on social function and quality of life in elderly patients with schizophrenia. Methods A total of 120 elderly patients with schizophrenia as study subjects were divided by random number table method into routine continuous nursing group and case management continuous nursing group, with 60 cases in each group. Routine continuous nursing group received telephone follow-up continuity nursing from the responsible nurses after discharge, and the case management continuous nursing group received continuous nursing according to the case management mode. The scores of social deficiency screening scale(SDSS) and Barthel index before and after intervention were compared between the two groups. Results Before intervention, both groups had no statistically significant difference in SDSS score(P>0.05). After intervention, case management continuous nursing group had lower SDSS score as(5.38±1.01) points than(9.70±1.42) points in routine continuous nursing group, and the difference was statistically significant(P<0.05). Before intervention, both groups had no statistically significant difference in Barthel index(P>0.05). After intervention, case management continuous nursing group had higher Barthel index score as(82.93±2.38) points than(72.05±4.26) points in routine continuous nursing group, and the difference was statistically significant(P<0.05). Conclusion Continuous nursing intervention under case management mode in elderly schizophrenic patients can improve their social function and quality of life.
作者
陈春兰
叶银烛
陈宝嫦
CHEN Chun-lan;YE Yin-zhu;CHEN Bao-chang(Jiangmen Third People's Hospital,Jiangmen 529000,China)
出处
《中国实用医药》
2019年第22期136-138,共3页
China Practical Medicine
关键词
个案管理
延续性护理
老年精神分裂症
社会功能
生活质量
Case management
Continuous nursing
Elderly schizophrenia
Elderly
Social function
Quality of life
