Influence of systematic community nursing on rehabilitation effect of community schizophrenia patients
系统社区护理对社区精神分裂症患者康复效果的影响

摘要

目的 研究分析系统社区护理对社区精神分裂症患者康复效果的影响。方法 选取我院收治的社区精神分裂症患者作为本次研究对象，研究开展时间在2020年5月-2021年10月，共纳入的样本量为80例，将患者按照随机分配方法进行分组，以数字表法分为观察组（n=40，实施系统社区护理）和对照组（n=40，实施常规随访护理）。对比分析两组的康复效果。结果 从两组患者的BPRS评分和ITAQ评分方面展开分析，在入组时，观察组和对照组上述评分比较均未存在着明显差异（P＞0.05），但是在3个月和6个月后，再次将两组评分的数据进行分析，数值间有着显著差异，前一项评分观察组更低，而后一项评分对照组更低，差异均有统计学意义（P＜0.05）；在护理3个月和6个月，两组均有患者出现了疾病复发，各时间段的复发率观察组和对照组比较，均是前者低于后者，差异均有统计学意义（P＜0.05）。结论 在社区精神分裂症患者的护理中，予以系统社区护理具有较高的应用价值，患者的精神症状得到了明显改善，并且自知力显著提高，同时降低了疾病的再发作风险，值得临床推广。

Abstract

Objective: To study and analyze the effect of systematic community nursing on the rehabilitation effect of community schizophrenia patients.
Methods: The community schizophrenia patients admitted to our hospital were selected as the subjects of this research. The research was carried out from May 2020 to October 2021. A total of 80 samples were included, and the patients were divided into groups according to the random allocation method. Divided into observation group (n=40, implementing systematic community nursing) and control group (n=40, implementing routine follow-up nursing) by digital table method. The rehabilitation effects of the two groups were compared and analyzed.
Results: From the analysis of the BPRS score and ITAQ score of the two groups of patients, at the time of enrollment, there was no significant difference in the above scores between the observation group and the control group (P>0.05), but at 3 months and 6 months After analyzing the scores of the two groups again, there were significant differences between the values. The former score was lower in the observation group, while the latter score was lower in the control group, and the difference was statistically significant (P<0.05). At 3 months and 6 months, both groups had disease recurrence. Compared with the control group, the recurrence rate of the observation group in each time period was lower than the latter, and the differences were statistically significant (P<0.05).
Conclusion  : In the nursing of patients with schizophrenia in the community, systematic community nursing has high application value. The patients' mental symptoms have been significantly improved, and their insight has been significantly improved, and the risk of disease recurrence has been reduced, which is worthy of clinical practice promotion.