医院-社区一体化随访对精神分裂症患者生活质量的影响  

Effect of Hospital-community Integration Follow-up on Quality of Life in Patients with Schizophrenia

作　　者：苏天勋 杨婕[1] 姚秀凤[1] 侯洁生 何燕飞[1] SU Tianxun;YANG Jie;YAO Xiufeng;HOU Jiesheng;HE Yanfei(The Third People’s Hospital of Zhaoqing City,Zhaoqing 526060,China)

机构地区：[1]肇庆市第三人民医院

出　　处：《现代医院》2019年第12期1792-1795,1798,共5页Modern Hospitals

摘　　要：目的探讨医院-社区一体化随访模式对精神分裂症患者生活质量的影响。方法将2017年1月—2018年3月在心身科和中西医结合科住院经系统治疗达到临床痊愈,简明精神病评定量表(BPRS)≤28的出院精神分裂症患者124例,按出院顺序随机分为干预组和对照组各62例,两组患者均在医生指导下规范服药,对照组到门诊或当地社区医院免费发药点取药,干预组由研究组成员牵头,联合社区精防医生进行了为期1年的随防。观察两组患者入组时、随防半年、1年后病情,比较两组患者随访1年后的生活质量情况、复发率和再住院率。结果两组患者入组时BPRS、GQOL-74中躯体功能、心理功能、社会功能比较差异无显著性(P>0.05);干预组的BPRS总分在随防后半年、1年均低于对照组,差异有统计学意义(P<0.01);干预组在随防1年后GQOL-74评分中躯体功能、心理功能、社会功能均高于对照组,差异有显著性(P<0.01);干预组复发12例,复发率19.35%,对照组复发25例,复发率为40.32%,两组比较差异有显著性(2=6.51,P<0.05);干预组再住院8例,再住院率12.9%,对照组再住院22例,再住院率35.48%,两组比较差异有显著性(2=8.62,P<0.05)。结论医院-社区一体化随访对稳定精神分裂症患者病情,提高患者的生活质量,减轻患者家庭和社会的负担,降低复发率和再住院率具有积极的作用。Objective To explore the effect of hospital-community integration follow-up model on the quality of life of schizophrenia patients.Methods 124 discharged schizophrenic patients with Brief Psychiatric Rating Scale(BPRS)≤28 who had been hospitalized in Psychosomatic Medicine Department and Traditional Chinese Medicine and Western Medicine Integrated Department of our hospital from January 2017 to March 2018 were randomly divided based on their discharge order into an intervention group in which the follow-up model has been practiced and a control group with 62 patients in each group.Patients of both groups took medicine regularly under the guidance of doctors.The control group got medicine for free at outpatient departments or in local community hospitals.The intervention group was led by members of the research group and carried out the patient follow-up practice for one year together with doctors of prevention and cure of mental disorders from community hospitals.The state of the patients’illness was observed at the time when the groups were set up,and half a year since the follow-up started and one year since the follow-up started.Then the quality of life,recurrence rate and readmission rate of the patients of the two groups after one year of the follow-up practice were compared.Results There is no significant difference in the physical function,psychological function and social function between BPRS and GQOL-74 when the patients entered the groups(P>0.05).The total score of BPRS in the intervention group is lower than that in the control group since the follow-up has been practiced for six months and then for one year.The difference is statistically significant(P<0.01).The scores of physical function,psychological function and social function in the GQOL-74 in the intervention group are higher than those of the control group since the follow-up has been practiced for one year,showing significant difference(P<0.01).The recurrence rate is 19.35%in the intervention group and 40.32%in the control group.The diff

关 键 词：医院-社区一体化随访 精神分裂症 生活质量 

分 类 号：R197.3[医药卫生—卫生事业管理] R749.3[医药卫生—公共卫生与预防医学]