ZHANG Leiping, ZHAO Yong, HE Qin. Application effect of 3R intensive nursing in elderly patients with psychosis[J]. Journal of Clinical Medicine in Practice, 2023, 27(8): 76-79. DOI: 10.7619/jcmp.20230174
Citation: ZHANG Leiping, ZHAO Yong, HE Qin. Application effect of 3R intensive nursing in elderly patients with psychosis[J]. Journal of Clinical Medicine in Practice, 2023, 27(8): 76-79. DOI: 10.7619/jcmp.20230174

Application effect of 3R intensive nursing in elderly patients with psychosis

More Information
  • Received Date: January 27, 2023
  • Revised Date: March 14, 2023
  • Available Online: May 10, 2023
  • Objective 

    To analyze the effect of 3R (reminiscence, reality and remotivation) intensive nursing with the multi-cooperation of medical and family members in elderly patients with psychosis.

    Methods 

    A total of 80 elderly patients with psychosis were selected as research objects and randomly divided into control group (40 cases) and observation group (40 cases). The control group was given routine nursing mode, while the observation group was given 3R intensive nursing based on multi-cooperation of medical and family members on the basis of the control group. Cognitive function, mental state, self-management ability and quality of life were compared between the two groups before and after intervention.

    Results 

    After intervention, the scores of Mini-Mental State Examination (MMSE), Wechsler Memory Scale and self-management ability scores in two groups were significantly higher than before intervention, and the observation group was significantly higher than the control group (P < 0.05 or P < 0.01). After intervention, mental status scores (negative, positive and general psychopathological symptoms) and quality of life scores (psychological, symptom/side reaction and motivation/energy) in two groups were significantly lower than before intervention, and the observation group was significantly lower than the control group (P < 0.05 or P < 0.01).

    Conclusion 

    3R intensive nursing with the multi-cooperation of medical and family members can effectively improve cognitive function, self-management ability and quality of life of elderly patients with psychosis, and improve their mental state.

  • [1]
    陈丹. 综合护理干预对降低老年精神病患者跌倒发生率的影响[J]. 重庆医学, 2020, 49(S01): 414-415. https://www.cnki.com.cn/Article/CJFDTOTAL-LCWX201762101.htm
    [2]
    宋珏敏, 黄娇. 老年女性精神病患者护理中应用个性化护理的效果[J]. 现代消化及介入诊疗, 2020, 25(S01): 533-534.
    [3]
    马冬飞, 孙皎, 赵英男, 等. 痴呆患者精神行为症状相关护理模式的研究进展[J]. 中华护理杂志, 2019, 54(7): 1017-1022 doi: 10.3761/j.issn.0254-1769.2019.07.011
    [4]
    张帆, 鲁菲菲, 张爽, 等. 医护与家属协同护理模式在小儿肺炎护理中的价值研究[J]. 现代中西医结合杂志, 2021, 30(25): 2843-2845. doi: 10.3969/j.issn.1008-8849.2021.25.026
    [5]
    李晓驷, 王克永, 董毅, 等. 安徽省精神分裂症分级诊疗指南(2016版)[J]. 安徽医学, 2018, 39(2): 251-265. https://www.cnki.com.cn/Article/CJFDTOTAL-AHYX201802002.htm
    [6]
    SUGISHITA M, HEMMI I, TAKEUCHI T. Reexamination of the Validity and Reliability of the Japanese Version of the Mini-Mental State Examination (MMSE-J)[J]. Japanese Journal of Cognitive Neuroscience, 2017, 18(34): 168-183.
    [7]
    崔界峰, 王健, 范宏振, 等. 中文版韦氏成人智力量表第四版的常模制订[J]. 中国心理卫生杂志, 2017, 31(8): 635-641 doi: 10.3969/j.issn.1000-6729.2017.08.010
    [8]
    肖春玲, 范宏振, 崔界峰, 等. 阳性和阴性症状量表的新5因子模型[J]. 中国心理卫生杂志, 2015, 29(4): 264-266.
    [9]
    贺楚梅, 乐汉娥, 戢秋明, 等. 日常生活能力评定量表在精神科病房分级护理管理中的应用研究[J]. 国际精神病学杂志, 2016, 43(6): 1052-1054.
    [10]
    骆宏, 罗南, 王义强, 等. 精神分裂症患者生活质量量表信效度检验与应用[J]. 中国心理卫生杂志, 2003, 17(3): 172-174
    [11]
    徐丽, 侯洁生, 杨婕, 等. 医院-社区-家庭联合护理模式对社区解锁精神病患者症状缓解及再住院率的影响[J]. 护理实践与研究, 2021, 18(12): 1890-1893. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ202112048.htm
    [12]
    王迎, 熊主平, 陈志亚, 等. 湖北省山区农村地区严重精神障碍患者家庭康复效果分析[J]. 国际精神病学杂志, 2020, 47(1): 85-88. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYJ202001025.htm
    [13]
    潘洪萍, 李霞, 王锁, 等. 3R护理法配合艾灸百会对血管性认知障碍病人康复的影响[J]. 安徽医药, 2019, 23(8): 1570-1573
    [14]
    SAREDAKIS D, KEAGE H A, CORLIS M, et al. The effect of reminiscence therapy using virtual reality on apathy in residential aged care: multisite nonrandomized controlled trial[J]. J Med Internet Res, 2021, 23(9): e29210.
    [15]
    黄静, 朱华, 林文. 3R强化护理干预对老年痴呆患者精神行为症状的效果[J]. 国际护理学杂志, 2022, 41(9): 1625-1629.
  • Related Articles

    [1]SUN Danghong, DAI Li, XU Tingting, MENG Jie, ZHU Ling, FU Rao, SHA Meng, WU Yi. Effect of 5A nursing model on self-management ability of patients with primary hypertension[J]. Journal of Clinical Medicine in Practice, 2022, 26(19): 111-114. DOI: 10.7619/jcmp.20221615
    [2]ZHOU Min. Effect of health education guidance based on Wechat platform on self-management ability and complications of hemodialysis in patients with maintenance hemodialysis[J]. Journal of Clinical Medicine in Practice, 2019, 23(20): 109-112. DOI: 10.7619/jcmp.201920030
    [3]HE Xiaoli, MU Nianhua. Effect of problem-based education model on self-management ability and maternal as well as infant complications in patients with gestational diabetes mellitus[J]. Journal of Clinical Medicine in Practice, 2019, 23(15): 68-70,74. DOI: 10.7619/jcmp.201915018
    [4]ZHANG Yan, GAO Shan, YANG Dan, PAN Yanfei, JIANG Shuyan. Effect of single disease nursing quality standards on blood glucose, compliance and self-management ability in patients with type 2 diabetes mellitus[J]. Journal of Clinical Medicine in Practice, 2017, (6): 45-48. DOI: 10.7619/jcmp.201706014
    [5]ZHANG Yu. Effect of the continued self-management education on the health knowledge level and self-care ability of patients with CHD[J]. Journal of Clinical Medicine in Practice, 2017, (6): 4-7. DOI: 10.7619/jcmp.201706002
    [6]LIU Zhonghui, SUN Jinyan, ZHANG Shuxia, CAI Yingjuan. Impact of diversity care on mental state of self-management ability of patients with gastric cancer[J]. Journal of Clinical Medicine in Practice, 2017, (2): 37-39. DOI: 10.7619/jcmp.201702012
    [7]SUN Yueming, WANG Xiaodi, YAO Ning. Application of empowerment education on self management skills and blood glucose control of diabetes[J]. Journal of Clinical Medicine in Practice, 2016, (16): 58-60,67. DOI: 10.7619/jcmp.201616018
    [8]ZHANG Wenying, GUO Yan. Investigation on self-management ability of PICC catheter in breast cancer patients with chemotherapy and nursing countermeasures[J]. Journal of Clinical Medicine in Practice, 2016, (10): 58-60,64. DOI: 10.7619/jcmp.201610019
    [9]MA Ying. Influence of health education path on self-management ability and symptom control in asthma patients[J]. Journal of Clinical Medicine in Practice, 2015, (6): 33-35. DOI: 10.7619/jcmp.201506011
    [10]SHI Ying, XIAO Yan, WANG Danhua, FANG Haiyan, ZHANG Peipei. Influence of individualized health education on self-management ability and quality of life in school-age children with asthma[J]. Journal of Clinical Medicine in Practice, 2013, (10): 106-108. DOI: 10.7619/jcmp.201310039

Catalog

    Article views (133) PDF downloads (12) Cited by()

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return