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目的探究人文关怀联合温情护理干预应用于老年性精神障碍患者的临床价值。方法选取三明市台江医院2013年5月—2016年1月收治的92例老年性精神障碍患者,随机分成观察组和对照组,每组46例。观察组实行人文关怀联合温情护理,对照组实行常规护理,比较两组患者阳性与阴性症状量表(PANSS)评分、住院病人护士观察量表(NOSIE)评分、护理效果及不良事件发生情况。结果 PANSS、NOSIE评分时间和方法间有交互作用,差异有统计学意义(P<0.05);时间间比较,差异有统计学意义(P<0.05);组间比较,差异有统计学意义(P<0.05)。入院时、入院1周两组患者PANSS、NOSIE评分比较,差异无统计学意义(P>0.05)。入院4周观察组患者PANSS评分低于对照组,NOSIE评分高于对照组,差异有统计学意义(P<0.05);入院4周两组患者PANSS评分和NOSIE评分与入院时、入院1周时比较,差异有统计学意义(P<0.05)。两组患者入院8周后观察组总有效率为93.5%,高于对照组的76.1%,差异有统计学意义(P<0.05)。观察组不良事件发生率为2.2%,低于对照组的17.4%,差异有统计学意义(P<0.05)。结论老年性精神障碍患者实行人文关怀联合温情护理干预,能有效改善患者的精神症状,促使患者及早获得康复。
Objective To explore the clinical value of humanistic care combined with warm-tempered nursing interventions in senile mental disorders. Methods A total of 92 elderly patients with mental disorders admitted to Sanming Taijiang Hospital from May 2013 to January 2016 were randomly divided into observation group and control group with 46 cases in each group. In the observation group, humanistic care was combined with warm-tempered nursing. The control group was given routine nursing care. The positive and negative symptom scales (PANSS) scores, NOSIE scores, nursing effects and adverse events were compared between the two groups. Results There was an interaction between PANSS and NOSIE scores in time and method, the difference was statistically significant (P <0.05). There was significant difference in time between the two groups (P <0.05) <0.05). At admission, there was no significant difference in PANSS and NOSIE scores between the two groups (P> 0.05). At 4 weeks after admission, the PANSS score of the observation group was lower than that of the control group, and the NOSIE score was higher than that of the control group (P <0.05); PANSS score and NOSIE score of the two groups were similar to those of the control group The difference was statistically significant (P <0.05). After 8 weeks of admission, the total effective rate of the observation group was 93.5%, which was higher than that of the control group (76.1%), the difference was statistically significant (P <0.05). The incidence of adverse events in the observation group was 2.2%, which was lower than 17.4% in the control group, the difference was statistically significant (P <0.05). Conclusion The intervention of humanistic care and warm nursing can improve the mental symptoms of patients with senile mental disorders and promote the early rehabilitation of the patients.