目的 探讨言语联合强化下肢训练对帕金森病患者构音与下肢运动功能及生活质量的影响.方法 选择2017年5月-2019年10月上海市精神卫生中心精神科收治的帕金森病患者120例,随机分为训练组和常规组各60例,常规组予以常规治疗,训练组在常规组治疗基础上予以言语联合强化下肢训练,对比两组患者下肢肌肉力量、肌张力、步行平衡能力、构音障碍情况及生活质量.结果 经治疗后,两组患者5次坐起试验指标、痉挛(Ashworth)评分、39项帕金森病调查表(PDQ39)评分均较前下降,且训练组低于常规组,两组6 m步速指标、功能性步态评价量表(FGA评分)、a级项数均较前上升,且训练组高于常规组,差异具有统计学意义(P＜0.05).结论 言语联合强化下肢训练可改善帕金森病患者构音与下肢运动功能及生活质量.

目的 观察康复助手应用程序(application,APP)在精神障碍患者照顾者健康教育中的应用效果.方法 2017年4月至2018年5月,便利抽样法选取在某医院精神科住院治疗的185例精神障碍患者的照顾者作为研究对象.采用随机数字表法将研究对象分为对照组(92例)和观察组(93例).对照组给予常规健康教育,观察组在对照组基础上联合应用康复助手APP,为其进行个体化指导.分别于干预前和干预28 d后采用焦虑自评量表、抑郁自评量表、社会功能缺陷筛选量表和精神疾病相关知识及行为知晓度问卷对研究对象进行调查.结果 干预28 d后,观察组焦虑自评量表、抑郁自评量表、社会功能缺陷筛选量表的评分均低于对照组(均P＜0.05),观察组疾病知识总知晓度高于对照组(P＜0.01).结论 联合康复助手APP开展健康教育,可以缓解精神障碍患者主要照顾者的焦虑和抑郁情绪,促进其社会功能的改善,提高对疾病的认知水平.

Objective To study the effects of cognitive behavioral intervention on self acceptance function in patients with depression.Methods A total of 150 patients in our hospital were as research objects,and were divided into observation group (75 cases) and control group (75 cases) according to the different time.The study group was given cognitive behavioral nursing intervention,while the control group used conventional care for depression,the treatment of depression and improvement of self acceptance function in the whole course of treatment were observed by the Self Acceptance Questionnaire (SAQ),Hamilton Depression Scale (HAMD) and the Hamilton Anxiety Scale (HAMA).Results Compared with the intervention group,the scores of self acceptance factor and total scores were significantly higher in the observation group (P ＜ 0.05),and the observation group was significantly higher than the control group (P ＜ 0.05).Compared with intervention before,HAMD and HAMA of two groups were significantly decreased (P ＜ 0.05).Conclusion Cognitive behavioral intervention nursing can significantly improve the ability of self acceptance of patients with depression and eliminate negative emotions,which plays an important role in the rehabilitation of depression.

Objective To explore the effect of diversified health education on improving the cognitive function of schizophrenia patients. Methods From January 2014 to December 2014, 108 patients with schizophrenia, who were treated in our hospital and reached stable state, were randomly divided into observation group (n=56) and control group (n=52) using a random number table. Patients in the two groups all received atypical antipsychotic drugs. The patients in the observation group were treated with diversified health education, and those in the control group were given only drug treatment. At baseline and 12 months after treatment, cognitive function was evaluated by Repeatable Battery for the As-sessment of neuro-psychological Status (RBANS) and Wisconsin Card Sorting Test (WCST), and psychotic symptoms by Positive and Negative Symptom Scale (PANSS). Results After the intervention, the RBANS scores of observation group were significantly higher than those of the control group in immediate memory, delayed memory, attention and the total score (P<0.05). The WCST classification number, correct number and conceptual level of the observation group were significantly higher than those of the control group, while thecontinuous errors and random errors were significant-ly lower (P<0.05). Change in RBANS total score was negatively correlated with negative symptom score, and indiffer-ence/social withdrawal, lack of spontaneity and fluency in conversation (r=-0.21, P=0.03;r=-0.24, P=0.01;r=-0.26, P=0.01). Conclusion Diversified health education can improve cognitive function in patients with schizophrenia, which is worthy of popularization and application.

Objective To explore effect of high quality nursing intervention on patients with schizophrenia and its impact on quality of life and treatment compliance.Methods 104 schizophrenic patients were randomly divided into observation group (n=52) and control group (n=52).The patients in the observation group were given quality nursing intervention,while the control group were given routine nursing intervention.Results The total satisfaction rate in observation group (96.15 ％) was higher than that of the control group (78.85 ％)(P＜ 0.05);after the intervention,the cognitive,physical,emotional,social role,and the total health score in the observation group were higher than those in the control group (all P ＜ 0.05);the active compliance rate in the observation group was higher than that in the control group (P＜0.05).Conclusion High quality nursing intervention can improve clinical effect,the quality of life of patients and treatment compliance in schizophrenia patients.

目的：探讨多维度康复训练护理计划书在精神分裂症患者中的应用效果。方法：选择多维度康复训练护理计划书应用前（2014年10~12月）与应用后（2015年1~3月）收治于我院的精神分裂症患者各61例为研究对象，分别设为对照组与实验组，对照组接受常规住院护理，实验组在对照组基础上制订多维度康复训练护理计划书并加以落实，对两组观察病例干预后的各观察指标进行比较。结果：实验组精神分裂症病例干预后的 ADL 评分、FAQ 评分和 SDSS 评分均低于对照组（P ﹤0.05），其 CO-OP/ WONCA、QL - index、KPS 评分均高于对照组（P ﹤0.05）。结论：采用多维度康复训练护理计划书对精神分裂症患者实施干预，有利于提高其生活技能，改善其社会功能，提高生活质量。

目的 了解社会技能训练对住院慢性精神分裂症患者康复效果.方法 采用整群抽样方法,随机抽取我院男女治疗病房各1作为研究组,共入组78名慢性精神分裂患者；再随机抽取男女治疗病房各1作为对照组,共入组66名慢性精神分裂症患者,研究组患者接受进行为期12周的社会技能训练.分别在训练前及训练12周后对两组使用SANS及NOSIE量表进行精神症状评定.结果 研究组在康复训练后SANS总分、各综合得分及NOSIE各因子得分无论是自身前后比较还是与对照组比较,得分均有明显的改善(P＜0.01).结论 社会技能训练对住院慢性精神分裂症患者的康复有较好的效果.

目的探讨激励机制对慢性精神分裂症长期住院患者阴性症状的影响。方法选择100例慢性精神分裂症住院患者随机分为研究组和对照组,每组50例;在维持原治疗和护理的同时对研究组患者实施为期12周的激励护理干预措施;在实施激励措施前及实施激励措施后第4、12周末分别用阴性症状量表(SANS)和护士用住院观察量表(NOSIE-30)进行疗效评定。结果两组患者在实施激励措施前SANS、NOSIE-30评分间差异无显著性意义(P均>0.05);实施激励措施前后研究组患者的SANS、NOSIE-30各评分间差异均存在显著性意义(P<0.05),而对照组患者的SANS、NOSIE-30各评分间差异仍无显著性意义(P>0.05)。结论激励可改善慢性精神分裂症长期住院患者的阴性症状,同时提高患者生活质量。