基于微信的多学科联合干预对精神分裂症出院患者康复的影响
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摘要
目的探讨基于微信的多学科联合干预对精神分裂症患者康复的影响。方法将200例临床痊愈出院的精神分裂症患者随机分为研究组和对照组各100例。对照组予以常规出院随访,研究组采用基于微信的多学科联合干预,时间为12个月。干预前后采用阳性和阴性症状量表(PANSS)、社会功能缺陷筛查量表(SDSS)、服药依从性和复发率进行效果评估。结果入组时,两组患者PANSS和SDSS评定无明显差异(p>0.05),干预6个月及12个月后,研究组PANSS、SDSS总分以及复发率明显低于对照组,而服药依从性高于对照组,差异具有统计学意义(p<0.01)。结论基于微信的多学科联合干预能够稳定出院精神分裂症患者病情,提高其社会功能和服药依从性,降低复发率,对促进患者康复具有积极作用。
Objective To investigate the effect of the multidisciplinary intervention based on WeChat on the rehabilitation of patients with Schizophrenia. Methods A total of 200 schizophrenic patients were randomly divided into the study group and the control group with 100 cases in each group. Patients in the control group received routine follow-up, while patients in the study group received a multidisciplinary intervention based on WeChat for 12 months. We evaluated patients in two groups before and after intervention from the perspective of Positive and Negative Syndrome Scale(PANSS), Social Disability Screening Schedule(SDSS), drug compliance and recurrence rate. Results There were no significant differences in PANSS and SDSS between the two groups(p>0.05) before the intervention. After 6 months and 12 months of intervention, the total scores of PANSS and SDSS in the study group were significantly lower than those in the control group. The recurrence rate was lower too. Drug compliance was significantly improved in the study group than in the control group. The differences were statistically significant(p<0.01). Conclusion The multidisciplinary intervention based on WeChat can stabilize the condition of patients discharged from schizophrenia, improve their social function and drug compliance, reduce the recurrence rate. It played an active role in promoting the rehabilitation of patients.
Objective To investigate the effect of the multidisciplinary intervention based on WeChat on the rehabilitation of patients with Schizophrenia. Methods A total of 200 schizophrenic patients were randomly divided into the study group and the control group with 100 cases in each group. Patients in the control group received routine follow-up, while patients in the study group received a multidisciplinary intervention based on WeChat for 12 months. We evaluated patients in two groups before and after intervention from the perspective of Positive and Negative Syndrome Scale(PANSS), Social Disability Screening Schedule(SDSS), drug compliance and recurrence rate. Results There were no significant differences in PANSS and SDSS between the two groups(p>0.05) before the intervention. After 6 months and 12 months of intervention, the total scores of PANSS and SDSS in the study group were significantly lower than those in the control group. The recurrence rate was lower too. Drug compliance was significantly improved in the study group than in the control group. The differences were statistically significant(p<0.01). Conclusion The multidisciplinary intervention based on WeChat can stabilize the condition of patients discharged from schizophrenia, improve their social function and drug compliance, reduce the recurrence rate. It played an active role in promoting the rehabilitation of patients.
引文
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7 Chan KWS,Hui LMC,Wong HYG,et al.Medication adherence,knowledge about psychosis,and insight among patients with a schizophrenia-spectrum disorder[J].The Journal of nervous and mental disease,2014,202(1):25-29.
8 Sariah AE,Outwater AH,Malima KIY.Risk and protective factors for relapse among individuals with schizophrenia:a qualitative study in Dar es Salaam,Tanzania[J].BMC psychiatry,2014,14(1):240.
9刘梅,于浩,王淑芳,等.精神分裂症患者监护人对延续护理的需求[J].中国护理管理,2012,12(12):25-28.
10林建葵,周永梅,严夏舒,等.康复期精神分裂症患者及其主要照顾者精神卫生知识需求的比较分析[J].中华现代护理杂志,2017,23(3):341-345.
11陈丽云,马丹,柳来龙,等.利用微信平台为糖尿病视网膜病变出院患者实施延伸护理的效果评价[J].中华现代护理杂志,2017,23(8):1130-1132.
2 Zimmermann J,Wolter A,Hann?ver W,et al.Frequency of remission in schizophrenia patients at one year followup[J].Psychiatrische Praxis,2009,36(4):182-188.
3石新芳.中青年糖尿病患者基于微信平台的延伸护理[J].护理学杂志,2017,32(9):75-77.
4黄蔷薇,金茹,魏晓玲.微信随访教育对血液透析患者治疗依从性的影响[J].医院管理论坛,2015,32(4):60-62.
5张明园,何燕玲.精神科评定量表手册[M].湖南科学技术出版社,2015.
6蒋菊芳,张紫娟,费静霞,等.延伸性护理干预在精神分裂症患者社区康复中的应用[J].中华现代护理杂志,2014,20(32):4086-4089.
7 Chan KWS,Hui LMC,Wong HYG,et al.Medication adherence,knowledge about psychosis,and insight among patients with a schizophrenia-spectrum disorder[J].The Journal of nervous and mental disease,2014,202(1):25-29.
8 Sariah AE,Outwater AH,Malima KIY.Risk and protective factors for relapse among individuals with schizophrenia:a qualitative study in Dar es Salaam,Tanzania[J].BMC psychiatry,2014,14(1):240.
9刘梅,于浩,王淑芳,等.精神分裂症患者监护人对延续护理的需求[J].中国护理管理,2012,12(12):25-28.
10林建葵,周永梅,严夏舒,等.康复期精神分裂症患者及其主要照顾者精神卫生知识需求的比较分析[J].中华现代护理杂志,2017,23(3):341-345.
11陈丽云,马丹,柳来龙,等.利用微信平台为糖尿病视网膜病变出院患者实施延伸护理的效果评价[J].中华现代护理杂志,2017,23(8):1130-1132.