Effect of continue nursing out of hospital on the rehabilitation of patients with first onset schizophrenia
10.3760/cma.j.issn.1674-2907.2012.06.001
- VernacularTitle:院外延续护理对首发精神分裂症患者康复效果的影响
- Author:
Jian-Ling KUANG
1
;
Bao-Yu SU
;
Jian-Fang LIU
;
Liu-Ying HE
;
You-Kui PAN
;
Yu YANG
;
Ju-Fang LIANG
;
Hong-Ying DU
;
Chun-Jie LIN
;
Run-Di LIANG
;
Wen DENG
;
Rui LIU
Author Information
1. 广东省佛山市第三人民医院
- Keywords:
Treatment outcome;
Continue nursing interventions;
First onset schizophrenia
- From:
Chinese Journal of Modern Nursing
2012;18(6):621-624
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of continue nursing out of hospital on the rehabilitation patients with first onset schizophrenia and to provide theoretical guidance for the development of hospital extended care.Methods Totals of 120 patients with first onset schizophrenia were randomly divided into study group and control group,each group 60 cases. Study group received continue nursing interventions out of hospital in two stages,control group only received conventional treatment,nursing,discharge instruction,and followed up one year.Medication compliance,disease recurrence and reemployment of patients were recorded.After patients discharged six months and one year,they were investigated with Brief psychotic symptoms scale (BPRS) and comprehensive assessment of quality of life questionnaire (GQOLI-74).Results In study group,there was 39 patients complied doctors' advice,7 patients' disease recurred and 13 patients were reemployment,while 26 patients complied doctors' advice,17 patients' disease recurred and 4 patients were reemployment in control group,and the differences were statistically significant (x2 =5.673,5.208,5.551,respectively;P＜0.05).There was no significant difference on the BPRS scores in two groups before implemented continue nursing outside hospital ( P ＞ 0.05 ) ; while after implemented continue nursing,the total score of BPRS in study group was (54.34 ± 6.608 ) higher than ( 43.63 ± 5.47 ) in control group,and the differences were statistically significant(t =6.749,P ＜ 0.01 ).One year later,the EQOL-74 score in physical function (62.14 ± 7.16),psychological function ( 61.54 ± 7.14) and social function ( 60.42 ± 5.28 ) in study group were higher than that of control group that was (62.14 ± 7.16),( 61.54 ± 7.14 ),( 60.42 ± 5.28 )respectively,and the differences were statistically significant ( t =3.304,3.259,3.959,respectively; P ＜ 0.01 ).Comparison of medication compliance,and ratio between two groups,the differences were statistically significant (P ＜ 0.05).Condusions Continue nursing care can improve the social function of patients with first onset schizophrenia,improve their quality of life,promote their recovery and return to society.
