院外延伸护理对稳定期精神分裂症患者自我效能及依从情况的影响  

The Effect of Out-of-Hospital Extended Care on Self-Efficacy and Adherence of Stable Schizophrenic Patients

作　　者：刘巧珊 LIU Qiaoshan(Department of Psychiatry,Ankang Hospital,Yongchun County,Quanzhou 362600,China)

机构地区：[1]泉州市永春县安康医院精神科,泉州362600

出　　处：《中国医药指南》2024年第28期82-84,共3页Guide of China Medicine

摘　　要：目的探讨院外延伸护理在稳定期精神分裂症患者中的应用效果。方法选择2023年3—8月本院100例稳定期精神分裂症患者,随机分为两组,各50例。常规组行常规护理及出院后随访,延伸组同时采用院外延伸护理。比较两组贝克抑郁量表第二版(BDI-Ⅱ)、焦虑自评量表(SAS)、简明精神病量表(BPRS)、精神分裂症患者生活质量量表(SQLS)、一般自我效能感量表(GSES)、Morisky用药依从性问卷(MMAS-8)。结果两组干预后BDI-Ⅱ、SAS、BPRS、SQLS评分均低于干预前,且延伸组低于常规组(P<0.05);两组干预后GSES、MMAS-8评分均高于干预前,且延伸组均高于常规组(P<0.05)。结论院外延伸护理能够促进稳定期精神分裂症患者不良情绪及精神病症状改善,提高患者自我效能及服药依从性,同时提高生活质量。Objective To explore the application effect of out-of-hospital extended care in stable schizophrenia patients.Methods A total of 100 cases of stable schizophrenia patients in our hospital from March to August 2023 were selected and randomly divided into two groups of 50 cases each.Routine care and post-discharge follow-up were carried out in the routine group,and out-of-hospital extended care was adopted in the extended group at the same time.The BDI-Ⅱ,SAS,BPRS,SQLS,GSES,and MMAS-8 were compared between the two groups.Results The BDI-Ⅱ,SAS,BPRS,and SQLS scores were lower than pre-intervention in both groups,and lower in the extended group than in the conventional group(P<0.05);the GSES and MMAS-8 scores were higher than pre-intervention in both groups,and higher in the extended group than in the conventional group(P<0.05).Conclusions Out-of-hospital extended care can promote the improvement of adverse emotions and psychotic symptoms in stable schizophrenia patients,improve patients'self-efficacy and medication adherence,as well as improve the quality of life.

关 键 词：精神分裂症 院外延伸护理 自我效能 依从性 

分 类 号：R749.3[医药卫生—神经病学与精神病学] R473.74[医药卫生—临床医学]