| 蒲金玉,蒲冬玉,张笑梅,孙梦月,刘情情.马斯洛需要层次论在首发精神分裂症患者康复中的应用[J].中国康复,2013,28(1):75-77 |
| 马斯洛需要层次论在首发精神分裂症患者康复中的应用 |
| Application of Maslow's hierarchy of needs in rehabilitation of first-episode schizophrenia |
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| DOI： |
| 中文关键词: 马斯洛需要层次论 精神分裂症 康复 护理 |
| 英文关键词: Maslow's hierarchy of needs schizophrenia rehabilitation |
| 基金项目:武汉市卫生局[(2009)76号(WZ09B0)] |
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| 中文摘要: |
| 目的：探讨马斯洛需要层次论在首发精神分裂症患者康复护理中的应用效果。方法：首发精神分裂症患者80例，随机分为2组各40例。观察组用马斯洛需要层次论作为指导，针对患者不同阶段的不同需要采取护理措施，满足其躯体和心理各层次的需要；对照组按精神科常规护理。分别在入院时、治疗6周后及出院时，采用阳性和阴性症状评定量表(PANSS)、护士用住院患者观察量表(NOSIE-30)及社会功能缺陷筛选量表(SDSS)进行评定。结果：治疗6周后和出院时2组PANSS总分、阳性症状、阴性症状、一般精神病理评分及SDSS评分均低于入院时(P<0.05,0.01)，均呈持续下降趋势，且观察组更低于对照组(P<0.05)；治疗6周后和出院时2组NOSIE-30评分均高于入院时(P<0.05,0.01)，均呈持续上升趋势，且观察组更高于对照组(P<0.05)。结论：在首发精神分裂症患者康复过程中，应用马斯洛需要层次论指导临床护理，能提高治疗依从性及生活自理能力，改善患者生活质量，促进社会功能的康复。 |
| 英文摘要: |
| Objective:To explore the application of Maslow's hierarchy of needs in rehabilitation of first-episode schizophrenia.Methods:Eighty cases of first-episode schizophrenia were randomly divided into two groups,40 cases in each group.The patients in observation group were guided by Maslow's hierarchy of needs according to different needs of different stages,and nursing intervention was given to meet patients' physical and psychological needs;patients in control group were given routine psychiatric nursing.The scores of PANSS,NOSIE-30 and SDSS on admission,6 weeks after admission,and at discharge were assessed.Results:Six weeks after admission and at discharge,the scores of PANSS,negative symptoms,positive symptoms and general psychopathology subscale in both groups were lower than pretreatment(P<0.05,0.01),exhibiting a persistent downward trend,and more significantly in observation group than in control group(P<0.05).Six weeks after admission and at discharge,NOSIE-30 scores in both groups were higher than in pretreatment (P<0.05,0.01),exhibiting a persistent upward trend,and more significantly in observation group than in control group(P<0.05).Conclusion:In the rehabilitative period of first-episode schizophrenia,using Maslow's hierarchy of needs to guide clinical nursing can enhance treatment compliance and self-care ability,improve quality of life,and promote recovery of social function of patients. |
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