微信心理干预对焦虑患者生活质量及依从性的影响  

Effect of Wechat-based Psychological Intervention on the Life Quality and Compliance of Patients with Anxiety Disorder

作　　者：赵永忠[1] 林子江[1] 杨闯[1] 王维千[1] 林海西[1] 

机构地区：[1]温州医科大学附属第一医院

出　　处：《医院管理论坛》2015年第8期16-19,共4页Hospital Management Forum

摘　　要：目的探讨基于微信的心理干预及随访对接受巩固期药物治疗的广泛性焦虑障碍患者的生活质量和依从性的作用。方法筛选医院精神科门诊符合国际疾病分类第10版中广泛性焦虑障碍诊断标准,接受巩固期抗抑郁药物治疗,且有使用微信的患者85例。随机分为微信组(n=42)和对照组(n=43),微信组通过微信群进行健康教育,团体互助,放松训练和支持性心理治疗等干预和随访,对照组仅推送提醒复诊的短信,随访24周。比较两组健康状况简表(SF-36)评分、Morisky依从性问卷评分,以及治愈率。结果治疗24周后,两组患者SF-36各项评分除生理机能外,均比入组时明显升高(P<0.05),微信组的生理职能、躯体疼痛、情感职能和精神健康4个维度高于对照组,差异有统计学意义(P<0.05)。微信组和对照组依从性好的患者比例为(75.6%和50.0%,P<0.05)。微信组和对照组痊愈率为43.9%和34.2%(P>0.05)。结论对接受巩固期药物治疗的广泛性焦虑障碍患者进行微信心理干预和随访,有助于提高患者的生活质量和治疗依从性。Objective To evaluate the effect of Wechat-based psychological intervention on life quality and compliance of patients with generalized anxiety disorders （GAD） in consolidation phase of pharmacotherapy.Methods 85 patients with GAD according to the diagnostic criteria in international classification of diseases （ICD-10） were selected to receive pharmacotherapy with 42 cases in Wechat group and 43 cases in control group. The Wechat group received the Wechat-based psychological intervention and follow-up visit while the control group only received conventional follow-up visit for 24 weeks. Compared the scores of Short Form-36 Health Status Questionnaire （SF-36）, Hamilton Anxiety Rating Scale （HAMA） and Morisky adherence questionnaire between two groups.Results After 24 weeks, except physical function, the scores of other SF-36 items were obviously increased than baseline in both groups （P〈0.05）. The scores of physical role, physical pain, emotional role and mental health for Wechat group were higher than that of control group （P〈0.05）.The percentage of good compliance in Wechat group and control group were 75.6% and 50.0% respectively （P〈0.05）. The cure rate in Wechat group and the control group were 34.2% and 26.3% respectively （P〉0.05）.Conclusion This study shows that Wechat-based psychological intervention and follow-up visit can enhance compliance and life quality of patients with GAD in the consolidation phase of pharmacotherapy.

关 键 词：广泛性焦虑障碍 心理干预 生活质量 依从性 

分 类 号：R749.72[医药卫生—神经病学与精神病学]