基于微信平台的焦点解决短期干预联合社会技能训练对出院精神分裂症患者的影响  

Impact of a focused solution-oriented short-term intervention combined with social skills training based on WeChat on discharged schizophrenic patients

作　　者：马灵亚 蔡靓 吴桂红 MA Lingya;CAI Liang;WU Guihong(Department of Public Health,Shaoxing Seventh People’s Hospital,Shaoxing 312000,Zhejiang,China;Department of Child Psychiatry,Shaoxing Seventh People’s Hospital,Shaoxing 312000,Zhejiang,China)

机构地区：[1]绍兴市第七人民医院公卫科,浙江绍兴312000 [2]绍兴市第七人民医院儿童精神科,浙江绍兴312000

出　　处：《中国现代医生》2024年第32期21-24,共4页China Modern Doctor

基　　金：浙江省卫生健康科技计划项目(2022ZH062)。

摘　　要：目的探讨基于微信平台的焦点解决短期干预联合社会技能训练对出院精神分裂症患者康复的影响。方法选取2022年1月至2023年12月绍兴市第七人民医院出院的精神分裂症患者200例为研究对象,采用随机数字表法分为研究组和对照组,每组100例。在研究过程中,研究组和对照组分别脱落11例和29例,最终研究组89例,对照组71例。对照组患者予以常规的出院随访,研究组患者实施为期6个月的基于微信平台的焦点解决短期干预联合社会技能训练。干预前后采用阳性和阴性症状量表(positive and negative syndrome scale,PANSS)、精神疾病患者病耻感量表中文版(stigma scale for mental illness-Chinese,SSMI-C)、康复状态量表(morning side rehabilitation stats scale,MRSS)和服药依从性进行效果评估。结果干预后,研究组患者的PANSS、SSMI-C、MRSS总分明显低于对照组,服药依从性高于对照组,差异均有统计学意义(P<0.05)。结论实施基于微信平台的焦点解决短期干预联合社会技可训练能降低出院精神分裂症患者的病耻感,提高其服药依从性,稳定其病情,对促进患者康复有积极作用。Objective To investigate the effect of focused solution-oriented short-term intervention combined with social skills training based on WeChat on the recovery of discharged schizophrenia patients.Methods A total of 200 schizophrenia patients discharged from Shaoxing Seventh People’s Hospital from January 2022 to December 2023 were selected as study subjects,and divided into study group and control group by random number table,with 100 patients in each group.During the course of the study,11 and 29 cases were lost in study group and control group,respectively,and finally 89 cases were in study group and 71 cases in control group.The control group received routine post-discharge follow-up,while the study group received a 6-month intervention focused solution-oriented short-term intervention combined with social skills training based on WeChat.Before and after the intervention,the positive and negative syndrome scale(PANSS),stigma scale for mental illness(SSMI-C),morning side rehabilitation stats scale(MRSS),and adherence to medication were assessed.Results After the intervention,the total scores of PANSS,SSMI-C,and MRSS in study group were significantly lower than those in control group,and the adherence to medication was higher than that in control group,with statistically significant differences(P<0.05).Conclusion Focused solution-oriented short-term intervention combined with social skills training based on WeChat can reduce the stigma of mental illness in discharged schizophrenia patients,improve their adherence to medication,stabilize their condition,and play a positive role in promoting their recovery.

关 键 词：精神分裂症 焦点解决短期干预 社会技能训练 

分 类 号：R749.3[医药卫生—神经病学与精神病学]