首页|基于微信小程序的多维度居家康复管理对精神分裂症患者的影响

基于微信小程序的多维度居家康复管理对精神分裂症患者的影响

The influence of multi-dimensional home rehabilitation management based on Wechat mini program on patients with schizophrenia

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目的 借助微信小程序对出院精神分裂症患者开展多维度居家康复管理,以更好地促进患者康复.方法 采用随机数字表法将2021年12月-2022年12月在绍兴市第七人民医院治疗后出院的98例精神分裂症患者分为对照组(49例,常规居家康复管理)和微信组(49例,基于微信小程序的多维度居家康复管理),比较2组服药依从性、社会功能、精神症状、病耻感、神经电生理及再入院率.结果 微信组干预后服药依从性量表(MARS)评分为(7.88±1.36)分,高于对照组的(6.10±1.14)分(P<0.05);社会功能量表(SSPI)总分高于对照组(P<0.05);微信组阳性与阴性症状量表(PANSS)中阳性症状评分为(7.06±1.34)分、阴性症状评分为(13.56±2.10)分、一般症状评分为(18.34±3.25)分、总分为(38.96±5.22)分,均低于对照组的(9.45±1.47)分、(15.67±2.34)分、(19.56±2.47)分和(44.68±5.03)分(P<0.05);病耻感量表(SSMI-C)得分低于对照组(P<0.05);P300潜伏期低于对照组(P<0.05),波幅高于对照组(P<0.05);6个月后再入院率略低于对照组(P>0.05).结论 基于微信小程序的多维度居家康复管理可提高精神分裂症出院患者服药依从性,帮助控制精神症状,改善社会功能,降低病耻感和促进认知功能的改善.
Objective To conduct multi-dimensional home rehabilitation management for discharged schizophrenic pa-tients using the Wechat mini program to promote patient rehabilitation.Methods A total of 98 patients with schizophre-nia discharged from Shaoxing Seventh People's Hospital after treatment from December 2021 to December 2022 were di-vided into control group(49 cases,routine home rehabilitation management)and Wechat group(49 cases,multidimen-sional home rehabilitation management based on Wechat mini program).Medication adherence,social functioning,psy-chological symptoms,stigma,neuroelectrophysiology and readmission rates were compared between the two groups.Re-sults The medication adherence rating scale(MARS)score in the Wechat group was(7.88±1.36)points,which was higher than that in the control group[(6.10±1.14)points,P<0.05].The scale of social function in psychosis inpa-tients(SSPI)was higher than in the control group(P<0.05).On the positive and negative syndrome scale(PANSS),the positive symptom score was(7.06±1.34)points,the negative symptom score was(13.56±2.10)points,the gener-al symptom score was(18.34±3.25)points,and the total score was(38.96±5.22)points.They were lower than(9.45±1.47)points,(15.67±2.34)points,(19.56±2.47)points and(44.68±5.03)points in the control group(P<0.05).The SSMI-C score was lower than in the control group(P<0.05).The latency of the P300 was lower than in the control group(P<0.05),and its amplitude was higher than in the control group(P<0.05).The readmission rate at 6 months was slightly lower than in the control group(P>0.05).Conclusion Multi-dimensional home rehabilitation management based on the Wechat mini program can improve medication adherence in discharged schizophrenia patients,help control mental symptoms,improve social functioning,reduce stigma and promote cognitive function improvement.

SchizophreniaHome rehabilitation managementWechat mini programMedication complianceReadmis-sion rate

林雪冰、金含青、马灵亚

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绍兴市第七人民医院精神科,浙江绍兴 312000

精神分裂症 居家康复管理 微信小程序 服药依从性 再入院率

浙江省医药卫生科技计划项目

2022ZH062

2024

中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子:1.688
ISSN:1674-4152
年,卷(期):2024.22(8)