Effect of continuous nursing on compliance behavior and quality of life of patients with intractable epilepsy
医院-社区一体化防治护理对重性精神病病人防治效果的价值探讨

摘要

目的 探讨医院-社区一体化防治护理对重性精神病病人防治效果的价值。方法 从2020年2月-2021年2月收治的重性精神病患者中选取50例参加研究，对所有患者进行医院-社区一体化防治护理，比较护理前后患者的病情改善率、日常行为好转情况（社会活动参与率、肇事肇祸率、用药依从率）以及临床指标（CGI与日常生活能力评分）水平，以评价防治效果。结果 医院-社区一体化防治护理后，患者的用药依从率、社会活动参与率和病情改善率均高于护理前，肇事肇祸率低于护理前，差异十分明显（P＜0.05）；护理后的CGI各指标均优于护理前，日常生活能力评分高于护理前，差异十分明显（P＜0.05）。结论 医院-社区一体化防治护理对重性精神病病人防治效果具有较高价值，可提高用药依从性以及日常生活能力，改善病情，让患者积极参与社会活动，降低肇事肇祸率，促进社会和谐发展。

Abstract

Objective To explore the value of hospital - community integrated prevention and care for severe psychiatric patients.
Methods A total of 50 patients with severe mental illness admitted between February 2020 and February 2021 were selected to participate in the study, and all patients received integrated hospital-community preventive care. The improvement rate, daily behavior improvement (social activity participation rate, accident and disaster rate, medication compliance rate) and clinical indicators (CGI and daily living ability score) were compared before and after nursing to evaluate the effect of prevention and treatment.
Results After hospital-community integrated prevention and treatment nursing, patients' medication compliance rate, social participation rate and disease improvement rate were higher than before nursing, and the accident rate was lower than before nursing, the difference was very significant (P < 0.05). The CGI index after nursing was better than before nursing, and the daily living ability score was higher than before nursing, the difference was very significant (P < 0.05).
Conclusion   The hospital-community integrated prevention and treatment nursing has high value for the prevention and treatment effect of severe psychiatric patients, can improve medication compliance and daily living ability, improve the condition, let patients actively participate in social activities, reduce the rate of accidents, promote the harmonious development of society.