基于软件随访模式对出院精神分裂症患者的效果评价  

Evaluation of effect of discharged schizophrenic patients based on software follow-up model

作　　者：游荣 邓作斌 曹贞贵 刘雪琴 苏建宁 何著发 谢光平 YOU Rong;DENG Zuobin;CAO Zhengui;LIU Xueqin;SU Jianning;HE Zhufa;XIE Guangping(Department of Emotional Disorders,The Third People’s Hospital of Ganzhou,Ganzhou,Jiangxi 341000,China)

机构地区：[1]赣州市第三人民医院情感障碍科,江西赣州341000

出　　处：《重庆医学》2024年第21期3264-3267,共4页Chongqing Medical Journal

基　　金：江西省卫生健康委员会科技计划项目(20232075)。

摘　　要：目的探讨应用软件随访模式对出院精神分裂症患者病耻感、社会功能、生存质量的影响。方法选取2023年1-12月在该院精神科住院的100例精神分裂症患者作为研究对象,根据随访方式的不同分为观察组(软件随访)和对照组(电话随访),每组50例。在出院时及出院后第4、8、12周,采用病耻感量表中文版(SSMI-C)评估患者病耻感,社会功能量表(SDSS)评估患者社会功能,生存质量综合评定量表(GQOLI-74)评估患者生存质量,比较两组上述评分的变化情况。结果出院时两组SSMI-C、SDSS、GQOLI-74评分比较,差异无统计学意义(P>0.05)。与出院时比较,出院后第4、8、12周两组SSMI-C、SDSS评分降低,GQOLI-74评分升高,且观察组SSMI-C、SDSS评分低于对照组,GQOLI-74评分高于对照组,差异有统计学意义(P<0.05)。结论应用随访软件定期对精神分裂症出院患者进行随访,可以降低其病耻感,改善社会功能缺陷,提高生存质量。Objective To investigate the effects of software follow-up mode application on stigma sense,social function and survival quality in the patients with schizophrenia.Methods A total of 100 inpatients with schizophrenia in the psychiatric department of this hospital from January to December 2023 were selected as the study subjects and divided into the observation group(software follow-up)and the control group(telephone follow-up)according to different follow-up modes,50 cases in each group.At discharge from hospital and in 4,8,12 weeks after discharge,the Chinese version of Stigma Scale for Mental illness(SSMI-C)was adopted to evaluate the stigma sense of the patients,the Social Disability Screening Schedule(SDSS)was used to evaluate the patients’social function,the patients’survival quality was evaluated by the Generic Quality of Life Inventory-74(GQOLI-74).The changes of above scores were compared between the two groups.Results The SSMI-C,SDSS and GQOLI-74 scores at discharge from hospital had no statistical difference between the two groups(P>0.05).Compared with at discharge from hospital,the SSMI-C and SDSS scores in 4,8,12 weeks of follow up in the two groups were decreased,the GQOLI-74 score was increased,moreover the scores of SSMI-c and SDSS in the observation group were lower than those in the control group,the GQOLI-74 score was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Conducting the regular follow-up on discharged patients with schizophrenia by the follow-up software could reduce the stigma of the patients,improve the social functional defect and improve the survival quality.

关 键 词：软件随访 精神分裂症 病耻感 社会功能 生存质量 

分 类 号：R749.3[医药卫生—神经病学与精神病学]