Observation on the application value of personalized nursing in psychological rehabilitation of patients with schizophrenia
个性化护理在精神分裂症患者心理康复中的应用价值观察

摘要

目的 本研究旨在探讨个性化护理在精神分裂症患者心理康复中的应用价值，分析其对患者心理状态、生活质量以及复发率的影响。方法 本研究为一项前瞻性、随机对照研究，选取我院2023年1月至2024年11月期间收治的精神分裂症患者共110例。根据患者的同意和入组条件，随机分为实验组（个性化护理组，55例）和对照组（常规护理组，55例）。实验组实施个性化护理干预，包括心理疏导、家庭支持及个体化治疗方案；对照组则接受常规护理。通过自评量表（SCL-90）、生活质量评估量表（SF-36）以及临床复发率等指标进行干预前后评估，收集数据并进行统计分析。结果 经过为期6个月的干预，实验组在心理症状改善、生活质量提升等方面明显优于对照组。实验组SCL-90总分从干预前的125.6±18.3降至干预后的92.3±15.4（P<0.05），而对照组仅从124.5±17.8降至115.4±16.9（P<0.05）。实验组SF-36总分从干预前的42.7±5.2升至68.4±6.1（P<0.01），而对照组仅从41.5±5.0升至53.2±5.6（P<0.05）。另外，实验组复发率为9.1%（5/55），对照组复发率为25.5%（14/55），差异具有统计学意义（P<0.05）。结论 个性化护理能够显著改善精神分裂症患者的心理状态、提高生活质量，并有效减少复发率。

Abstract

Objective The purpose of this study was to explore the application value of personalized nursing in the psychological rehabilitation of schizophrenia patients, and analyze its impact on the psychological state, quality of life and recurrence rate of patients.
Methods This was a prospective, randomized controlled study of 110 patients with schizophrenia admitted to our hospital between January 2023 and November 2024. According to the patients' consent and enrollment conditions, they were randomly divided into experimental group (personalized care group, 55 cases) and control group (routine care group, 55 cases). The experimental group implemented individualized nursing intervention, including psychological counseling, family support and individualized treatment. The control group received the usual care. Self-rating Scale (SCL-90), Quality of Life Assessment Scale (SF-36), clinical recurrence rate and other indicators were evaluated before and after intervention, and data were collected and statistically analyzed.
Results After 6 months of intervention, the experimental group was significantly better than the control group in the improvement of psychological symptoms and quality of life. The total score of SCL-90 in the experimental group decreased from 125.6±18.3 before intervention to 92.3±15.4 after intervention (P<0.05), while that in the control group only decreased from 124.5±17.8 to 115.4±16.9 (P<0.05). The total SF-36 score of the experimental group increased from 42.7±5.2 before intervention to 68.4±6.1 (P<0.01), while that of the control group only increased from 41.5±5.0 to 53.2±5.6 (P<0.05). In addition, the recurrence rate of the experimental group was 9.1% (5/55) and that of the control group was 25.5% (14/55), the difference was statistically significant (P<0.05).
Conclusion   Personalized nursing can significantly improve the mental state and quality of life of patients with schizophrenia, and effectively reduce the recurrence rate.