中医情志护理和耳穴压豆对精神分裂症患者认知功能和社会功能的影响
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R749.3;R248

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Effect of Emotional Nursing of Chinese Medicine and Auricular Point Pressing with Beans on Cognitive Function and Social Function in Patients with Schizophrenia
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    摘要:

    目的:观察中医情志护理和耳穴压豆对精神分裂症患者认知功能和社会功能的影响。方法:将108 例精神分裂症患者按随机数字表法分为对照组和观察组各54 例。对照组给予帕利哌酮缓释片口服,并给予常规护理措施,观察组在对照组的基础上采用中医情志护理和耳穴压豆法。评价2 组治疗前后简明精神状态量表(MMSE)、阳性与阴性症状量表(PANSS) 和社会功能量表(SFRS) 评分,治疗后评价2 组锥体外系副反应量表(RSESE) 和自知力与治疗态度问卷(ITAQ) 评分。结果:治疗前,2 组MMSE、SFRS 和PANSS 量表评分比较,差异均无统计学意义(P>0.05)。治疗后,2 组MMSE 评分较治疗前升高,SFRS 和PANSS 量表评分较治疗前下降;且观察组MMSE 评分高于对照组,SFRS 和PANSS 量表评分低于对照组;差异均有统计学意义(P<0.05)。观察组RSESE 量表评分低于对照组,ITAQ 量表评分高于对照组,差异均有统计学意义(P<0.05)。结论:中医情志护理和耳穴压豆的使用可进一步的减轻精神分裂症患者PANSS 症状,减轻药物不良反应,提高患者的认知功能和社会功能,并提高了患者自知力,临床疗效显著。

    Abstract:

    Abstract:Objective:To observe the effect of emotional nursing of Chinese medicine and auricular point pressing with beans on cognitive function and social function in patients with schizophrenia. Methods:A total of 108 cases of patients with schizophrenia were divided into the control group and the observation group according to the random number table method, 54 cases in each group. The control group was given oral administration of paliperidone extended-release tablets and routine nursing measures, and the observation group was additionally given emotional nursing of Chinese medicine and auricular point pressing with beans based on the treatment of the control group. The scores of Mini- Mental State Examination (MMSE),Positive and Negative Syndrome Scale(PANSS) and Social Function Rating Scale(SFRS) before and after treatment, as well as the scores of Rating Scale for Extrapyramidal Side Effects(RSESE) and Insight and Treatment Attitudes Questionnaire(ITAQ) after treatment in the two groups were evaluated. Results:Before treatment,compared the scores of MMSE,SFRS and PANSS in the two groups,there was no significant difference between the two groups(P>0.05). After treatment,MMSE scores in the two groups were increased when compared with those before treatment,and the scores of SFRS and PANSS were decreased;MMSE score in the observation group was higher than that in the control group,and the scores of SFRS and PANSS were lower, differences being significant(P<0.05). The RSESE score in the observation group was lower than that in the control group, and the ITAQ score was higher, differences being significant(P<0.05). Conclusion: The application of emotional nursing of Chinese medicine and auricular point pressing with beans can further relieve the symptoms of PANSS and the side effects of medication, improve the cognitive function, social function and insight of patients,with significant clinical effect.

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周林艳,刘文娟.中医情志护理和耳穴压豆对精神分裂症患者认知功能和社会功能的影响[J].新中医,2020,52(14):144-146

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  • 在线发布日期: 2020-07-20
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