临床护理路径对提高急性期精神分裂症患者风险管理效果的影响(1)
[摘要]目的 探討临床护理路径(CNP)对提高急性期精神分裂症患者风险管理效果的影响。方法 选取2017年1～12月我院收治的急性期精神分裂症患者200例，采用随机数字表法将其分为对照组、研究组，每组100 例。对照组给予精神科常规护理，研究组在此基础上实施CNP管理。比较两组患者的CGI-S1评分、暴力风险评分、自杀或自伤风险评分、擅自离院(外走)风险评分。结果 两组患者实施前的CGI-S1评分比较，差异无统计学意义(P>0.05)；实施后，研究组患者的CGI-S1评分明显低于对照组，且研究组患者的CGI-S1评分明显低于实施前，差异均有统计学意义(P<0.05)；对照组患者实施前后的CGI-S1评分比较，差异无统计学意义(P>0.05)。实施前，两组患者的暴力风险评分比较，差异无统计学意义(P>0.05)；实施后，研究组患者的暴力风险评分明显低于对照组，且研究组患者的暴力风险评分明显低于实施前，差异均有统计学意义(P<0.05)；对照组患者实施前后的暴力风险评分比较，差异无统计学意义(P>0.05)。实施前，两组患者的自杀或自伤风险评分比较，差异无统计学意义(P>0.05)；实施后，研究组患者的自杀或自伤风险评分明显低于对照组，且研究组患者的自杀或自伤风险评分显著低于实施前，差异均有统计学意义(P<0.05)；对照组患者实施前后的自杀或自伤风险评分比较，差异无统计学意义(P>0.05)。实施前，两组患者的外走风险评分比较，差异无统计学意义(P>0.05)；实施后，研究组患者的外走风险评分明显低于对照组，且研究组患者的外走风险评分显著低于实施前，差异均有统计学意义(P<0.05)；对照组患者实施前后的外走风险评分比较，差异无统计学意义(P>0.05)。结论 实施CNP可以降低护理风险，保证患者的安全，提高临床疗效。
[关键词]临床护理路径；精神分裂症；风险；效果
[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721(2018)8(a)-0172-04
The effect of clinical nursing pathway on improving risk management effect of patients with acute schizophrenia
CEN Hong-zhou1 LI Yu-mei1 HUANG Wen-hua2
1. Department of Nursing， the Third People′s Hospital of Maoming City， Guangdong Province， Maoming 525200， China； 2. Office， the Third People′s Hospital of Maoming City， Guangdong Province， Maoming 525200， China
[Abstract]Objective To explore the influence of clinical nursing pathway on improving the risk management effect of patients with acute schizophrenia. Methods A total of 200 patients with acute schizophrenia admitted into our hospital from January to December 2017 were randomly divided into control group and study group， and there were 100 patients in each group. The control group was given routine psychiatric care， and the research group was given clinical nursing pathway management on this basis. The CGI - S1 score， violence risk score， suicide or self-injury risk score， and risk score of leaving the hospital without permission were compared in patients between the two groups. Results There was no significant difference in CGI-S1 score between the two groups before implementation (P>0.05). After implementation，the CGI-S1 score of patients in the study group was significantly lower than that of the control group， and the CGI-S1 score of patients in the study group was significantly lower than that before implementation， and the differences were statistically significant(P<0.05). There was no significant difference in CGI-S1 score， before implementation， between the two groups (P>0.05). After implementation， the violence risk score in the study group was significantly lower than that in the control group， and the violence risk score in the study group was significantly lower than that before implementation， and the differences were statistically significant(P<0.05). There was no statistically significant difference in the violence risk score between the control group in the control group (P>0.05). Before implementation， there was no statistically significant difference in the risk score of suicide or self-injury between the two groups (P>0.05). After implementation， the violence risk score in the study group was significantly lower than that in the control group， and the two groups violence risk score in the study group was significantly lower than that before implementation， and the differences were statistically significant (P<0.05). There was no significant difference in the risk score of suicide or self-injury between the control group and the control group (P>0.05). Before implementation， there was no significant difference between the two groups (P>0.05). After implementation， the risk score of patients in the study group was significantly lower than that in the control group， and the risk score of patients in the study group was significantly lower than that before implementation， and the differences were statistically significant (P<0.05). There was no statistically significant difference between the risk scores of patients in the control group before and after implementation (P>0.05). Conclusion The implementation of CNP can reduce nursing the risk of nursing， the implementation of CNP can reduce the risk of nursing， ensure the safety of patients and improve the clinical curative effect， and also increase clinical efficacy., 百拇医药(岑洪舟 李玉梅 黄文华)
[关键词]临床护理路径；精神分裂症；风险；效果
[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721(2018)8(a)-0172-04
The effect of clinical nursing pathway on improving risk management effect of patients with acute schizophrenia
CEN Hong-zhou1 LI Yu-mei1 HUANG Wen-hua2
1. Department of Nursing， the Third People′s Hospital of Maoming City， Guangdong Province， Maoming 525200， China； 2. Office， the Third People′s Hospital of Maoming City， Guangdong Province， Maoming 525200， China
[Abstract]Objective To explore the influence of clinical nursing pathway on improving the risk management effect of patients with acute schizophrenia. Methods A total of 200 patients with acute schizophrenia admitted into our hospital from January to December 2017 were randomly divided into control group and study group， and there were 100 patients in each group. The control group was given routine psychiatric care， and the research group was given clinical nursing pathway management on this basis. The CGI - S1 score， violence risk score， suicide or self-injury risk score， and risk score of leaving the hospital without permission were compared in patients between the two groups. Results There was no significant difference in CGI-S1 score between the two groups before implementation (P>0.05). After implementation，the CGI-S1 score of patients in the study group was significantly lower than that of the control group， and the CGI-S1 score of patients in the study group was significantly lower than that before implementation， and the differences were statistically significant(P<0.05). There was no significant difference in CGI-S1 score， before implementation， between the two groups (P>0.05). After implementation， the violence risk score in the study group was significantly lower than that in the control group， and the violence risk score in the study group was significantly lower than that before implementation， and the differences were statistically significant(P<0.05). There was no statistically significant difference in the violence risk score between the control group in the control group (P>0.05). Before implementation， there was no statistically significant difference in the risk score of suicide or self-injury between the two groups (P>0.05). After implementation， the violence risk score in the study group was significantly lower than that in the control group， and the two groups violence risk score in the study group was significantly lower than that before implementation， and the differences were statistically significant (P<0.05). There was no significant difference in the risk score of suicide or self-injury between the control group and the control group (P>0.05). Before implementation， there was no significant difference between the two groups (P>0.05). After implementation， the risk score of patients in the study group was significantly lower than that in the control group， and the risk score of patients in the study group was significantly lower than that before implementation， and the differences were statistically significant (P<0.05). There was no statistically significant difference between the risk scores of patients in the control group before and after implementation (P>0.05). Conclusion The implementation of CNP can reduce nursing the risk of nursing， the implementation of CNP can reduce the risk of nursing， ensure the safety of patients and improve the clinical curative effect， and also increase clinical efficacy., 百拇医药(岑洪舟 李玉梅 黄文华)