Nursing Care Effective for Rehabilitation of Schizophrenics

本研究于1992年和1993年对2例精神分裂症患者进行了连续两年的护理观察，并用8 mm摄像机进行了观察。同时，对数据进行不断的对比分析。为此，对两年的护理实践进行了分析和讨论，得出了两个方面的结论：“医院康复系统中两个案例的护理实践的功能和结构”和“沟通技术在护理实践中的应用分析”。护士提供基于护患关系的护理服务。为了与社区建立联系，患者需要利用沟通技能。然而，长期住院的患者在技能方面尤其欠佳。因此，他们需要在与护士建立信任关系的基础上重新获得信任。护士向患者提供了他们有可能过什么样的生活和在社区中生活的权利的具体形象，确认和鼓励患者的独立意愿。护士以一贯的态度为精神分裂症患者重返社区提供有效的护理，并将这两个方面有机地有机地结合起来。在这项研究中，在康复过程中提供的护理服务是在精神病院环境下进行分析的。因此，要弄清楚这些方面，还需要在未来不同的环境和情况下继续分析，例如，这种护理和技能是否是精神病院的特色，或者是否对其他护理专业人员，如公共卫生护士具有普遍性。

In this study, continuous observation of nursing care was made for two years in 1992 and 1993, including observation of two cases with schizophrenia using 8 mm video camera. In the meantime, constant comparative analysis of data were made. Thus, nursing care provided for two years was analized and discussed.As the results, two aspects were drawn, i.e., "function and structure of nursing practice which provided for two cases in the hospital rehabilitation system" and "analysis of communication technique adopted to the practice of nursing care".Nurses provide nursing care based on interpersonal relations between nurses and patients. To be connected with the community, patients need to make the use of communication skills. However, patients, who stayd in hospital for a long time, are especially poor at the skills. Therefore, they need to regain it based on trustful relations with nurses. Nurses provided concrete image to patients what kind of life they have a possibility to make and a right to live in community, confirming and encouraging patients' will to be independent.Effective nursing care for patients with schizophrenia to come back to community were provided by nurses with a consistent attitude, and these two aspects were used incomplexly and organically in the effective nursing care. In this study, nursing care which were provided in the rehabilitation process was analized within a mental hospital setting. Therefore, to make these aspects clear will be needed to continue analysis at different settings and situations in the future, e.g., whether or not such nursing care and the skills are characteristics of mental hospital, or it is universal to other nursing professionals such as public health nurse.