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玩偶干预方法对精神疾病患者的临床护理效果
宫璇吴作天曾静李珂孙璇
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摘要:
目的 探讨实施玩偶干预方法对精神疾病患者临床护理的疗效和作用。方法 将2017年 4—10月入住武汉大学人民医院精神卫生中心的61例女性精神疾病患者纳入研究,随机分为试验组30 例、 对照组31例。对照组给予精神科常规护理,试验组在此基础上使用玩偶干预方法,干预期3周。使用护士 用住院患者观察量表(NOSIE)和Kolcaba舒适状况量表(GCQ)进行评分,比较两组干预效果。结果 NOSIE 结果分析显示,干预3 周试验组的社会兴趣(20.67±5.81)分、迟缓(M=6)分及抑郁(M=4)分症状较对照 组社会兴趣(15.16±7.17)分、迟缓(M=2)分及抑郁(M=2)分症状显著改善(P<0.05);干预后,试验组的GCQ 评分为(87.07±9.58)分,明显高于对照组的(79.81±7.94)分,差异有统计学意义(P=0.002)。结论 玩偶干 预方法有利于提高患者住院舒适度和社会兴趣,降低患者迟缓和抑郁的程度,对改善精神疾病患者临 床护理的效果明显。
关键词:  玩偶干预方法  精神疾病  临床护理
DOI:10.3969/j.issn.1009-6574.2018.11.010
基金项目:2016 年武汉大学健康学院护理学科自主科研项目(JSZD2016003)
Effects of doll intervention on clinical nursing in psychiatric patients
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Abstract:
Objective To evaluate the effect of doll intervention on the effect of clinical nursing of psychiatric patients. Methods Between April and October of 2017, a total of 61 female patients hospitalized in the Mental Health Center of Renmin Hospital of Wuhan University were recruited, and randomly divided into intervention group( n=30) and control group( n=31). The patients of the control group received routine nursing care, while the patients of the intervention group were given doll intervention on the basis of routine nursing for 3 weeks. Patients were rated using Nurses' Observation Scale for Inpatient Evaluation( NOSIE) and Kolcaba General Comfort Questionnaire( GCQ) for the effect of intervention. Results The result of NOSIE indicated that after 3 weeks' intervention, the scores of social interest, delayed and depressive of the intervention group were( 20.67±5.81),( M=6) and( M=4) respectively, which were all improved than those of the control group (15.16±7.17),( M=2), and( M=2)( P<0.05). The score of GCQ of the intervention group was( 87.07±9.58), which was significantly higher than that of the control group( 79.81±7.94), and the difference was statistically significant( P=0.002). Conclusions Doll intervention method is beneficial to the improvement of patient's comfort level and social interest, the reduction of the patient's delay and depression, and the effects of clinical nursing on the improvement of mental illness.
Key words:  Doll intervention  Psychotic disorders  Clinical nursing

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