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目的探讨Orem自护模式对慢性精神分裂症患者自理能力及康复效果的影响。方法选取75例慢性精神分裂症患者,随机分为对照组38例和观察组37例,2组均采用利培酮等抗精神病药物治疗,对照组给予常规护理,观察组在此基础上实施Orem自护模式。比较2组干预前及干预3个月后自理能力及康复效果。结果干预后,2组住院护士观察量表(NOSIE)总积极、总病情评分均显著升高(P<0.01),总消极评分显著下降(P<0.01);干预后,除对照组社交能力无变化外,2组康复疗效判定量表(IPROS)各维度评分均显著下降(P<0.01);干预后,观察组各项评分显著优于对照组(P<0.05或P<0.01)。结论 Orem自护模式可有效改善慢性精神分裂症患者自理能力,促进病情康复。
Objective To explore the effect of Orem self-care model on self-care ability and rehabilitation of patients with chronic schizophrenia. Methods Seventy-five patients with chronic schizophrenia were randomly divided into control group (n = 38) and observation group (n = 37). Both groups were treated with antipsychotic drugs such as risperidone, and the control group were given routine nursing. The observation group was based on Orem Self-care mode. The self-care ability and rehabilitation effect of 2 groups before intervention and 3 months after intervention were compared. Results After intervention, the scores of NOSIE in both groups were significantly higher (P <0.01) and the total negative score significantly decreased (P <0.01). After intervention, except for the social competence of the control group (P <0.01). After intervention, the score of the observation group was significantly better than that of the control group (P <0.05 or P <0.01). Conclusion Orem self-care model can effectively improve the self-care ability of patients with chronic schizophrenia and promote the recovery of the disease.