1.Comprehensive nursing intervention on depression HAMD-17 score and quality of life
China Modern Doctor 2014;(29):73-76
Objective To investigate the effects of comprehensive nursing intervention on depression HAMD-17 score and quality of life. Methods From December 2011 to December 2013 in our hospital, 60 cases of depression were randomly assigned to the intervention group and the control group, each of 30 patients,the control group received ran-dom symptomatic care, the intervention group focused implementation of comprehensive psychological care nursing in-terventions,HAMD-17 score and the score of quality of life changes were compared between two groups. Results After treatment for 1 month, 3 months, 6 months, 12 months, HAMD scores of the intervention group and control group patients were significantly lower compared with before treatment (P<0.05), and the treatment in the six months, the 12 months, the intervention group patients HAMD scores were significantly lower than the control group, the difference was statistically significant ( P<0 . 05 ) . Patients in the intervention group and the control group , quality of life of patients WHO-QOL after the intervention was significantly improved than before the intervention, and the intervention group improved more significantly than the control group, the difference was statistically significant (P<0.05). Conclusion The implementation of integrated care interventions for patients with depression, can reduce the HAMD-17 score, im-prove the quality of life of patients.
2.Effect of comprehensive psychological interventions on social functions and quality of life of patients with the first-episode schizophrenia
Zhilou XU ; Xiaozhi DAI ; Sujuan ZHANG
Chinese Journal of Modern Nursing 2014;20(19):2355-2359
Objective To explore the effect of comprehensive nursing interventions on social functions and quality of life of first-episode schizophrenic patients .Methods Sixty patients with first-episode schizophrenia were randomly divided into intervention group and control group (30 patients for each group).All patients were treated with risperidone and basic psychiatric nursing care .Besides, the intervention group was given comprehensive nursing interventions additionally .Positive and Negative Symptoms Scale ( PANSS ) was used to evaluate the efficacy; Social Disability Screening Schedule ( SDSS ) was used to evaluate the social functions;Satisfaction with Life Scale ( SWLS) was used to evaluate the quality of life and Global Assessment Scale(GAS) was used to evaluate the general condition .PANSS, SDSS, SWLS and GAS were used to survey all the patients before and at the 6th, 12th and 18th week after the nursing interventions .Results At the end of 6th, 12th and 18th week after the nursing interventions, the total score of the PANSS was (17.90 ±4.20), including positive symptoms score of (8.67 ±2.77) and negative symptoms score of (9.30 ±2.78).The general mental state score was (20.80 ±4.25).The differences between groups were significant (t=7.74, 5.32, 5.90, 3.72, respectively;P<0.01).The scores of SDSS, SWLS, BPRS and GAS for the intervention group were (13.80 ±3.99),(15.43 ±4.01),(22.63 ±4.15) and (78.00 ±14.42), which were significantly lower than those in the control group (t=4.85, 7.41, 5.77, 6.83, respectively;P<0.01).Conclusions Comprehensive nursing interventions can not only help patients improve psychiatric symptoms , but also improve the social functions and the quality of life of the patients with first-episode schizophrenia .
3.The clinical observation of the senile psychotics by the treatment of chi-nese herbal steaming-washing
Hujin HONG ; Zhilou XU ; Lijie HE
China Modern Doctor 2014;(25):88-91
Objective To explore the clinical effect of chinese herbal steaming-washing on the senile psychotics . Methods 97 senile psychotics were divided into the treatment group and the control group, and the control group was given conventional treatment, but the treatment group was given both conventional treatment and chinese herbal steaming-washing. Used the brief psychiatric rating scale(BPRS), the condition of simple mental state examination (MMSE),and curative effect evaluation standard of insomnia to evaluate the mental symptoms,cognitive function,and the improvement of the sleep. Results The chinese herbal steaming-washing had an efficacy in improving the psychi-atric symptoms of the senile psychotics other than thought disorder, P<0.05, but it had no difference on the influence of cognitive function P>0.05. The effective rate of sleep improvement was 91.7% in the treatment group and 65.3% in the control group.The chinese herbal steaming-washing significantly reduced the utilization rate of sedative hypnotics from 63% to 21% in the senile psychotics. Conclusion The chinese herbal steaming-washing can improve the sleep of the senile psychotics and the mental symptoms,has no obvious side effect and dependence. The operation is simple,convenient and suitable for long-term use.