中华护理杂志 ›› 2024, Vol. 59 ›› Issue (17): 2130-2133.DOI: 10.3761/j.issn.0254-1769.2024.17.012

• 疑难重症护理 • 上一篇    下一篇

1例精神分裂症并发重度恶性综合征患者的护理

翁慧(), 耿峰, 王艳梅, 林廷荣, 张勤, 张淼()   

  1. 230601 合肥市 安徽医科大学第二附属医院心理与睡眠医学科(翁慧,耿峰,王艳梅,林廷荣,张勤),护理部(张淼)
  • 收稿日期:2024-04-23 出版日期:2024-09-10 发布日期:2024-09-02
  • 通讯作者: 张淼,E-mail:mm20070317@126.com
  • 作者简介:翁慧:女,硕士,主管护师,护士长,E-mail:475378141@qq.com
  • 基金资助:
    安徽省卫生健康科研项目(AHWJ2023A10080);安徽省质量工程项目(2023jymx11130)

Nursing care of a patient with schizophrenia complicated by severe neurdeptics malignant syndrome

WENG Hui(), GENG Feng, WANG Yanmei, LIN Tingrong, ZHANG Qin, ZHANG Miao()   

  • Received:2024-04-23 Online:2024-09-10 Published:2024-09-02

摘要:

总结1例精神分裂症并发重度恶性综合征患者的护理经验。护理要点:重视抗精神病药物用药监测,尽早识别恶性综合征的发生;发挥跨学科团队优势,快速启动急性期管理措施;联合多模式降温措施,促进患者体温恢复;落实阶梯式干预方案,促进肠道功能恢复;重视家庭支持性治疗,促进社会功能恢复;制订多学科随访计划,做好延续性护理。经过多学科团队的救治和精细化护理,患者顺利出院,共住院47 d。随访3个月,患者日常生活基本恢复正常。

关键词: 精神分裂症, 抗精神病药, 恶性综合征, 木僵, 肠梗阻, 护理

Abstract:

To summarize the nursing experience of a patient with schizophrenia complicated by severe neurodeptic malignant syndrome. Nursing points include:to emphasize monitoring of antipsychotic medications to detect the onset of neurodeptic malignant syndrome as early as possible;to leverage the multidisciplinary team for rapid initiation of acute phase management interventions;to combine multimodal cooling to help rewarm the patient;to implement the stepwise intervention program to promote recovery of bowel function;to emphasize family supportive therapy to restore social functioning;to continue case management by developing a multidisciplinary follow-up plan. After careful management and care by the multidisciplinary team,the patient was successfully discharged from the hospital after a total stay of 47 days. After 3 months of follow-up,the patient’s daily life was basically back to normal.

Key words: Schizophrenia, Antipsychotic Drugs, Neurdeptics Malignant Syndrome, Wooden Stiffness, Intestinal Obstruction, Nursing Care