摘要
目的 剖析综合护理干预在初次开展重复经颅磁刺激（repetitive transcranial magnetic stimulation，rTMS）治疗的精神分裂症患者群体中的实践成效。方法 以2024年1月至2026年1月期间，于本院精神科住院且首次接受rTMS治疗的60例精神分裂症患者为研究样本，对照组执行常规护理流程，观察组落实综合护理方案，进而对两组干预成效展开对比分析。结果 观察组治疗依从率（96.67%）、护理满意度（93.33%）均明显高于对照组（76.67%、70.00%），观察组PANSS各维度评分及总分均显著低于对照组，MoCA（montreal cognitive assessment）评分显著高于对照组，两组数据差异有统计学意义（P＜0.05）。结论 针对首次接受rTMS治疗的精神分裂症患者，实施综合护理干预，可切实增强患者治疗配合意愿，提升护理服务认可度，改善患者精神症状及认知功能。
关键词： 综合护理干预；重复经颅磁刺激；精神分裂症；首次治疗；干预效果
Abstract
Objective To analyze the practical efficacy of comprehensive nursing intervention in patients with schizophrenia receiving repetitive transcranial magnetic stimulation (rTMS) therapy for the first time. Methods A total of 60 schizophrenia patients hospitalized in the psychiatry department of our hospital and receiving rTMS therapy for the first time between January 2024 and January 2026 were enrolled as study subjects. The control group received conventional nursing procedures, while the observation group implemented a comprehensive nursing protocol. Comparative analysis was conducted to evaluate the intervention outcomes between the two groups. Results The treatment compliance rate (96.67%) and nursing satisfaction rate (93.33%) in the observation group were significantly higher than those in the control group (76.67% and 70.00%, respectively). The PANSS subscale scores and total score in the observation group were significantly lower than those in the control group, while the MoCA score was significantly higher. Statistical differences were observed between the two groups (P<0.05). Conclusion For schizophrenia patients receiving rTMS therapy for the first time, comprehensive nursing intervention can effectively enhance treatment compliance, improve patient satisfaction with nursing services, and ameliorate psychiatric symptoms and cognitive function.
Key words： Comprehensive nursing intervention; Repetitive transcranial magnetic stimulation; Schizophrenia; First treatment; Intervention efficacy
参考文献 References
[1]汤姿瑛,凤燕琼,张红霞,等.重复经颅磁刺激治疗精神分裂症患者阴性症状的疗效观察及安全性评估[J].贵州医药, 2021,45(5):752-753.
[2]曾荷花,郭文勇,刘岱岳,等.重复经颅磁刺激治疗对精神分裂症患者阴性症状及认知功能的影响[J].当代临床医刊,2021,34(2):25-26.
[3]Zou W ,Chen C ,Huang Z , et al.Efficacy of low-frequency repetitive transcranial magnetic stimulation combined with risperidone in the treatment of schizophrenia patients with auditory verbal hallucinations. [J].Pakistan journal of medical sciences,2025,41(11):3288-3295.
[4]李明珠,阎浩.重复经颅磁刺激急性和维持性治疗在抑郁障碍中的应用进展[J].协和医学杂志,2025,16(2):321-329.
[5]宋楚韩,吴仁容.重复经颅磁刺激治疗精神分裂症阴性症状的进展[J].国际精神病学杂志,2023,50(2):200-203.
[6]马娟,丁宁,丁木兵.精神分裂症患者的治疗依从性影响因素分析及对生活质量和生活能力的影响[J].海军医学杂志,2024,45(5):521-525.
[7]周誉华,曹贞贵.重复经颅磁刺激与无抽搐电休克结合利培酮治疗流浪难治性精神分裂症患者的临床对照分析[J].医学理论与实践,2022,35(3):402-404.
[8]李杰琦,李佳琪. 重复经颅磁刺激治疗精神分裂症患者护理的特异性研究[J]. 心理月刊,2020,15(8):128.