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微信随访干预在精神分裂症患者出院后社区延续护理中的应用

  • 张彦, 康茜,王涌

* 通信作者: 张彦, 单位:武汉大学人民医院 临床心理科

摘要

【摘要】
目的 探讨微信随访干预在精神分裂症患者出院后社区延续护理中的应用价值。

方法 以2014年5月—2016年2月我院收治的80例精神分裂症患者为研究对象,采用随机数字表法将患者分为对照组及实验组,2组患者出院后均实施社区延续护理干预,对照组采用传统方式进行健康教育及电话随访,实验组另采用微信随访干预,观察护理干预后2组遵医行为、护理效果、随访复发率及预后生活质量[精神分裂症患者生活质量量表(SQLS)评分]。

结果 护理干预前2组焦虑抑郁、缺乏活力、思维障碍、激活性、敌对猜疑评分、SQLS评分相较无明显差异(P>0.05);护理干预后实验组饮食、情绪管理、适量运动、用药依从性及定期复诊评分较对照组明显高(P<0.05);护理干预后2组焦虑抑郁、缺乏活力、思维障碍、激活性、敌对猜疑评分、SQLS评分较护理干预前明显降低,且实验组的降低较对照组明显,差异有统计学意义(P<0.05),护理干预后1年实验组复发率较对照组明显低(P<0.05)。

结论 微信随访干预在精神分裂症患者出院后社区延续护理中应用时,可明显提高患者遵医行为,并有效改善患者临床症状,在降低患者复发率的同时提高其生活质量,推荐临床广泛应用。

关键词:【关键词】精神分裂症;微信随访;社区延续护理;健康教育;电话随访

ABSTRACT

[Abstract]
Objective To explore the application value of WeChat follow-up intervention in community continued nursing of patients with schizophrenia after discharge.

Methods 80 cases of patients with schizophrenia treated in our hospital from May 2014 to February 2016 were enrolled in the study. They were divided into the control group and the experimental group by random number table method. Both groups were given community continued nursing intervention. The control group were given traditional methods of health education and telephone follow-up, while the experimental group were additionally given WeChat follow-up intervention. After the nursing intervention, the compliance behaviors, nursing effects, recurrence rate and quality of life [the Schizophrenia Quality of Life Scale (SQLS) score] in the two groups were observed.

Results There was no significant difference in anxiety and depression, lack of energy, thought disorders, activation, hostility suspicion score and SQLS score between the two groups before the nursing intervention (P > 0.05). After the nursing intervention, the scores of diet, emotion management, moderate exercise, medication compliance and regular follow-up of the experimental group were significantly higher than those of the control group (P < 0.05). After the nursing intervention, the scores of anxiety and depression, lack of vitality, thought disorders, activation, hostility suspicion and SQLS of the two groups were significantly lower than those before nursing intervention, and the decrease was more significant in the experimental group than the control group (P < 0.05). 1 year after nursing intervention, the recurrence rate was significantly lower in the experimental group than the control group (P < 0.05).

Conclusion   The application of WeChat follow-up intervention in community continued nursing of patients with schizophrenia after discharge can significantly improve patients’ medication compliance, and effectively relieve the clinical symptoms. It can reduce the recurrence rate and improve the quality of life of patients.

Key words: [Key words] Schizophrenia; WeChat follow-up; Community continued nursing; Health education; Telephone follow-up

引用本文 / How to Cite This Article

张彦, 康茜,王涌.微信随访干预在精神分裂症患者出院后社区延续护理中的应用[J]. 国际精神病学杂志, 2019, 46(1): 154-156

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