"同室支持"护理模式对封闭式病房慢性精神分裂症男患者的康复干预效果研究OA
Effect of the"room-based peer support"nursing model on rehabilitation outcomes in male patients with chronic schizophrenia in closed wards
目的 探讨"同室支持"护理模式在封闭式病房慢性精神分裂症男患者中的康复干预效果.方法 选取湛江市第三人民医院封闭式病房于 2024 年9 月至2025 年9 月收治的140 例慢性精神分裂症男患者,采用随机数字表法分为对照组与观察组.对照组 70 例实施常规精神科护理+特殊工娱治疗,观察组 70 例在对照组的基础上加用"同室支持"护理模式.比较 2 组的日常生活能力量表(ADL)、护士用住院病人观察量表(NOSIE)、自知力与治疗态度问卷(ITAQ)评分以及干预期间护理不良事件发生率.结果 干预 4 周、8 周与 12 周后,观察组的ADL、NOSIE、ITAQ评分均高于对照组(P均<0.05).观察组的护理不良事件发生率低于对照组(P<0.05).结论 "同室支持"护理模式可显著提升封闭式病房慢性精神分裂症男患者的日常生活能力、社会功能及治疗依从性,降低护理不良事件风险.
Objective To explore the effect of the"room-based peer support"nursing model on rehabilitation outcomes in male patients with chronic schizophrenia in closed wards.Methods A total of 140 male patients with chronic schizophrenia who were admitted to the closed wards of the Third People's Hospital of Zhanjiang from September 2024 to September 2025 were selected.They were randomly divided into the control group and the observation group using a random number table.The control group(70 cases)received conventional psychiatric care plus special work and entertainment therapy,while the observation group(70 cases)received the"room-based peer support"nursing model in addition to the control group's care.The scores of Activities of Daily Living Scale(ADL),Nurses'Observation Scale for Inpatient Evaluation(NOSIE),Insight and Treatment Attitudes Questionnaire(ITAQ),as well as the incidence of nursing adverse events during the intervention period were compared between the two groups.Results After 4 weeks,8 weeks and 12 weeks of intervention,the scores of ADL,NOSIE and ITAQ in the observation group were all higher than those in the control group(P<0.05).The incidence of nursing adverse events in the observation group was lower than that in the control group(P<0.05).Conclusion The"room-based peer support"nursing model can significantly improve daily living abilities,social function and treatment compliance of male patients with chronic schizophrenia in closed wards,and reduce the risk of adverse nursing events.
朱如芳;李冬梅;赵婷婷;揭英凤;许锦泉
湛江市第三人民医院,广东 湛江,524000湛江市第三人民医院,广东 湛江,524000湛江市第三人民医院,广东 湛江,524000湛江市第三人民医院,广东 湛江,524000湛江市第三人民医院,广东 湛江,524000
医药卫生
慢性精神分裂症同室支持护理模式封闭式病房康复训练
chronic schizophreniaroom-based peer supportnursing modelclosed wardrehabilitation training
《中西医结合护理(中英文)》 2026 (7)
97-100,4
2025 年度湛江市科技计划项目(2025B01167)
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