基于微信平台的健康教育对精神分裂症患者服药依从性、精神症状及再住院率的影响  

Effect of health education based on WeChat platform on medication compliance,psychiatric symptoms,and rehospitalization rate of schizophrenic patients

作　　者：王贤 徐韦云[1] 熊金霞[1] 李川[1] 史泊海[1] 汪作为[1] WANG Xian;XU Wei-yun;XIONG Jin-xia;LI Chuan;SHI Bo-hai;WANG Zuo-wei(Hongkou District Mental Health Center,Shanghai 200081,China)

机构地区：[1]上海市虹口区精神卫生中心,上海200081

出　　处：《现代预防医学》2022年第20期3771-3775,共5页Modern Preventive Medicine

基　　金：上海市医学重点专科建设计划(ZK2019A06);上海市精神心理疾病临床医学研究中心(19MC1911100);虹口区卫生健康委员会科研课题计划资助(虹卫1902-20)。

摘　　要：目的探讨基于微信平台的健康教育对社区精神分裂症患者服药依从性、精神症状及再住院率的影响。方法通过简单随机抽样的方法从上海市虹口区精神卫生信息管理系统中选取160例社区精神分裂症患者,按随机数字表法分为观察组和对照组。对照组给予常规健康教育干预,观察组在常规健康教育干预的基础上,实施微信健康教育干预。分别在干预前(入组时)、干预6个月及12个月,对两组患者的药物依从性量表(medication adherence rating scale,MARS)和阳性与阴性症状量表(positive and negative symptom scale,PANSS)的评分及再住院率进行比较,以t检验或χ^(2)检验进行统计分析。结果160例患者中观察组和对照组各80例,干预前两组患者MARS和PANSS评分差异无统计学意义(P>0.05),干预6个月和12个月时,观察组患者MARS评分均高于对照组[(6.84±2.68)vs(5.90±2.16)和(7.26±2.33)vs(5.97±1.77)]、PANSS评分均低于对照组[(46.33±7.50)vs(50.52±6.74)和(44.09±7.93)vs(50.03±6.59)],差异有统计学意义(P<0.05),干预12个月,观察组患者再住院率为2.50%低于对照组11.25%,差异有统计学意义(P<0.05)。结论基于微信平台的健康教育能够提高社区精神分裂症患者服药依从性、改善精神症状和降低再住院率,值得社区推广使用。Objective To explore the effects of health education based on WeChat platform on medication compliance,psychi-atric symptoms,and rehospitalization rate of schizophrenia patients in community.Methods In total 160 community schizophrenic patients were selected from the mental health information management system of Hongkou district,Shanghai by simple random sampling.They were divided into observation group and control group according to random number table.The control group was given routine health education intervention,while the observation group was given WeChat health educa-tion intervention on top of routine health education intervention.Before intervention(at enrollment),at 6 and 12 months of in-tervention,?the scores of medication adherence rating scale(MARS)and the positive and negative symptom scale(PANSS)and readmission rate were compared.Statistical analysis was conducted by t-test orχ^(2)test.Results Among the 160 patients,there were 80 in the observation group and 80 in the control group.There was no significant difference in MARS and PANSS scores between the two groups before intervention(P>0.05).At 6 and 12 months of intervention,MARS score in observation group was higher than that in control group(6.84±2.68 vs 5.90±2.16 and 7.26±2.33 vs 5.97±1.77),PANSS score was lower than that in control group(46.33±7.50 vs 50.52±6.74 and 44.09±7.93 vs 50.03±6.59),the differences were statistically signif-icant(P<0.05).After 12 months of intervention,the rehospitalization rate of patients in the observation group was 2.50%,low-er than that in the control group(11.25%),with statistically significant difference(P<0.05).Conclusion Health education based on Wechat platform can improve community schizophrenia patients’medication compliance,improve mental symptoms and reduce the rate of readmission,which is worth popularizing in the community.

关 键 词：精神分裂症 服药依从性 健康教育 微信 

分 类 号：R473.74[医药卫生—护理学]