基于微信平台的延续性护理对精神分裂症患者预后的即时性与延时性影响分析  

Analysis on Immediacy and Delay of WeChat-based Continuous Nursing for Prognosis of Patients with Schizophrenia

作　　者：聂佳慧 沈妙莉[1] 王菲[1] 孔勇 蒋喻君 严超 NIE Jiahui;SHEN Miaoli;WANG Fei;KONG Yong;JIANG Yujun;YAN Chao(Shanghai Changning Mental Health Center,Shanghai 200335;East China Normal University The School of Psychology and Cognitive Science,Shanghai 200062)

机构地区：[1]上海市长宁区精神卫生中心,上海200335 [2]华东师范大学心理与认知科学学院,上海200062

出　　处：《上海护理》2022年第6期11-15,共5页Shanghai Nursing

基　　金：上海市长宁区卫生健康系统十大杰出青年护理人员培养项目(20214Q011);上海市长宁区精神卫生中心科研项目(2018006);上海市长宁区专科护理基地建设项目(20212H006)。

摘　　要：目的探讨基于微信平台的延续性护理对出院后精神分裂症患者生活质量及预后的即时性与延时性的影响。方法采用方便抽样法,选取2018年5月至2019年7月从上海市长宁区精神卫生中心出院的100例精神分裂症患者作为研究对象。按照抽签法分为对照组(n=50)和观察组(n=50)。对照组给予常规电话随访,观察组在此基础上给予基于微信平台的延续性护理干预。所有患者均完成了6个月的干预,对照组44例、观察组50例患者完成了出院后12个月的随访。比较两组患者出院时、出院6个月和出院12个月时的中文版精神分裂症患者生活质量量表得分,以及两组患者的服药依从性、疾病复发率。结果两组患者的中文版精神分裂症患者生活质量量表总得分和各因子(心理社会、动机/精力、症状副反应)得分经重复测量方差分析得出,时间和组别均存在交互效应(P<0.05)。观察组患者出院6个月的中文版精神分裂症患者生活质量量表总得分和各因子得分均低于出院12个月(P<0.05),对照组患者出院6个月和出院12个月的中文版精神分裂症患者生活质量量表总得分和各因子得分差异均无统计学意义(P>0.05)。出院后6个月,两组患者服药依从性、疾病复发率比较,差异均有统计学意义(P<0.05);出院12个月,两组患者服药依从性、疾病复发率比较,差异均无统计学意义(P>0.05)。结论基于微信平台的延续性护理干预可以即时地提高出院后精神分裂症患者的生活质量、改善服药依从性、降低疾病复发率,但不具有延时性效果。Objective To explore the immediacy and delay of WeChat-based continuous nursing on the quality of life and prognosis of patients with schizophrenia after discharge.Methods A total of 100 patients with schizophrenia discharged from the Shanghai Changning Mental Health Center from May 2018 to July 2019 were selected by convenience sampling.They were divided into the control group(n=50)and the observation group(n=50)by lottery.The control group was given routine telephone follow-up,while the observation group was given WeChat-based continuous nursing and routine telephone follow-up.All patients were intervened for6 months,and 44 patients in the control group and 50 patients in the observation group were followed up for 12 months after discharge.The scores of the Chinese version of the Schizophrenia Quality of Life Scale at discharge,6 months after discharge,and 12 months after discharge,as well as the medication adherence and relapse rate were compared between the two groups.Results The total score of the Chinese version of the Schizophrenia Quality of Life Scale and the score of each factor(psychosocial,motivation/energy,symptom/adverse reaction factors)from the two groups were subject to repeated measures ANOVA,and the result showed time and inter-group interaction effects(P<0.05).For the schizophrenia patients in the observation group,the total score of the scale and the score of each factor at 6 months after discharge were lower than those at 12 months after discharge(P<0.05);for the schizophrenia patients in the control group,there was no significant difference in the total score of the scale and the score of each factor between 6 months after discharge and 12 months after discharge(P>0.05).From the score at 6 months after discharge,there were statistically significant differences in the medication adherence and relapse rate between the two groups(P<0.05);12 months after discharge,there were no significant differences in the medication adherence and relapse rate between the two groups(P>0.05).Conclusion WeChat-

关 键 词：精神分裂症 延续性护理 微信 生活质量 服药依从性 复发 

分 类 号：R473.74[医药卫生—护理学]