Abstract

Objective To explore the effect Three-level Nursing in psychiatric department. Methods From June 2012 to January 2013, 106 cases of in-hospitalized patients with schizophrenia were randomly divided into two groups: 50 cases of control group and 56 cases of three-level nursing evaluation group.Nurses' Observation Scale for Inpatient Evaluation (NOSIE) was applied to assess the patient's condition for 3 times: patients admitted to hospital within 48 hours, 2 weeks after treatment and before discharge. Results On the first assessment, all indicators of two groups had no significant differences (P>0.05). On the second and third time, many indicators were improved (P<0.05). Compared with the first assessment, all the indicators, except for the total negative second evaluation, were significantly improved (P<0.05) in the second and all the indicators in the third assessment were improved (P<0.05). In the second evaluation, compared with the control group, except for social skill and total negative, the remaining indicators in three-level nursing evaluation group were significantly improved (P<0.05). In the third evaluation, compared with the control group, except for social skill, social interest and depression, the remaining indicators in three-level nursing evaluation group were significantly improved (P<0.05). Compared with the control group, the indexes of hospital care and discharge care, health education, professionalism and accountability were higher (P<0.05). Conclusion Three-level Nursing in psychiatric nursing can identify patients' existing and potential care problems, appropriate care can be applied as soon as possible, which can effectively reduce various types of risk incidence and promote the recovery of patients. Key words: Three-level nursing evaluation; Psychiatric department; Effect

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