住院精神病患者锥体外系副反应的观察及舒适护理效果评价.doc

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1、住院精神病患者锥体外系副反应的观察及舒适护理效果评价副反应发生率9.7%显著低于对照组36.7%,研究组RESES总分分显著低于对照组分，差异均具有统计学意义。护理4周末，研究组SDSS总分及与病友交往退缩、生活自理能力较差、护理兴趣活动贫乏、无责任心因子分均低于对照组,差异均具有统计学意义。两组患者的较少参与护理康复训练因子分比较，差异无统计学意义。研究组患者满意度为96.8%,家属满意度为93.6%,均高于对照组的76.7%>73.3%,差异均具有统计学意义。结论在对症治疗的基础上，舒适护理对减轻症状、改善社会功能和提高满意度有较

2、好的效果。【关键词】住院精神病患者；锥体外系副反应；心理护理；舒适护理DOI：10.14163/j.cnki.ll-5547/r.2017.18.083[Abstract]ObjectiveToobserveandevaluatethenursingeffectofcomfortnursingonextrapyramidalsideeffectsinhospitalizedpsychiatricpatients・MethodsAtotalof61psychiatricpatientswithextrapyramidalsideeffe

3、ctsasstudysubjectswererandomlydividedintoresearchgroupandcontrolgroup・Bothgroupsreceivedcorrespondingdrugsforsymptomatictreatmentand/ordecrementobservationandbasiccare,andthecontrolgroupreceivedconventionalnursing・Theresearchgroupalsoreceivedcomfortnursing.Comparisonwer

4、emadeonoccurrenceofextrapyramidalsideeffects?ratingscaleforextrapyramdalsideeffectsscore、socialdisabilityscreeningschedulescoreandnursingsatisfactionintwogroups・ResultsAttheendof4weeksofnursing,bothgroupshadlowerincidenceofextrapyramidalsideeffectsandtotalRESESscorethan

5、beforenursing,andtheresearchgrouphadsignificantlylowerincidenceofextrapyramidalsideeffectsas9.7%than36.7%inthecontrolgroup.TheresearchgrouphadsignificantlylowertotalRESESscoreaspointsthanpointsinthecontrolgroup,andthedifferencehaddifferencehadstatisticalsignificance・Att

6、heendof4weeksofnursing,theresearchgrouphadlowertotalSDSSscore,socialwithdrawal?poorself-careability,lackofinterestinnursingactivitiesandirresponsiblefactorpointsthanthecontrolgroup,andtheirdifferencehadstatisticalsignificance・Bothgroupshadnostatisticallysignificantdiffe

7、renceinlessparticipationinnursingrehabilitationtrainingfactorpoints・Theresearchgrouphadhighersatisfactiondegreeas96.8%andfamilysatisfactionas93.6%than76.7%and73.3%inthecontrolgroup,andtheirdifferencehadstatisticalsignificance.ConclusionOnthebasisofsymptomatictreatment?c

8、omfortnursingshowsgoodeffectinreducingsymptoms,improvesocialfunctionandsatisfactiondegree・