Jothimani G, Parthasarathi R, Reddemma K, Giri A T S
Dept of Nursing, NIMHANS, Bengaluru.
Nurs J India. 2012 Nov-Dec;103(6):256-60.
Individuals suffering from neurosis suffer from social and occupational disabilities similar to that of psychoses. Though understanding of disabilities in neurosis is essential in management of the clients, the relevant interventional studies are very limited. The present study attempted to evaluate the effect of nursing interventions in reducing social and occupational disabilities in neurotic patients. Sixty neurotic patients diagnosed as per ICD 9 criteria were randomly assigned to experimental and control groups followed by pre-assessment by Groningen social disability schedule. Of the 10 sessions of nursing intervention, 3 were individual sessions with clients, 5 with clients and family members and 2 with small group of clients with similar problems; nursing intervention group and non-nursing intervention group received the routine drug treatment at rural community mental health centre, NIMHANS, Bengaluru. The post-assessment was carried out first, second, and the third month followed by the nursing intervention. The findings revealed statistically significant reduction in social and occupational disabilities. A community-based psychosocial intervention led by community health nurses catering to the needs of neurotic patients is indicated by the results.
患有神经症的个体存在与精神病患者类似的社会和职业障碍。尽管了解神经症患者的障碍对于治疗他们至关重要，但相关的干预研究非常有限。本研究试图评估护理干预对减轻神经症患者社会和职业障碍的效果。按照国际疾病分类第九版（ICD 9）标准诊断的60名神经症患者被随机分为实验组和对照组，随后采用格罗宁根社会残疾量表进行预评估。在10次护理干预中，3次是针对患者的个体治疗，5次是患者及其家属共同参与，2次是针对有类似问题的一小群患者；护理干预组和非护理干预组在班加罗尔国家精神卫生和神经科学研究所（NIMHANS）的农村社区心理健康中心接受常规药物治疗。在护理干预后的第一个月、第二个月和第三个月进行后评估。结果显示，社会和职业障碍在统计学上有显著降低。结果表明，由社区健康护士主导的、满足神经症患者需求的基于社区的心理社会干预是可行的。
