首页|基于微信主导的延续性康复护理在缓解期精神分裂症患者中的效果评价

基于微信主导的延续性康复护理在缓解期精神分裂症患者中的效果评价

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目的 探讨基于微信主导的延续性康复护理应用于缓解期精神分裂症患者的康复效果.方法 选取 2021 年 5 月—2023 年 4 月缓解期出院精神分裂症患者 134 例,按照组间基本特征具有可比性原则分为观察组和对照组,每组67例.对照组给予常规延续性康复护理,观察组应用基于微信主导的延续性康复护理.随访6个月,比较两组患者病耻感、社会功能、生活质量.结果 随访6个月,观察组中途退出3例,对照组中途退出5例.护理干预前,两组患者歧视、掩饰、积极效应评分及病耻感总分比较,差异均无统计学意义(P>0.05);护理干预后,观察组患者歧视、掩饰、积极效应评分及病耻感总分均低于对照组,差异有统计学意义(P<0.05).护理干预前,两组患者工疗情况、生活能力、社交能力、关心和兴趣评分及住院精神病人康复疗效评定量表(IPROS)总分比较,差异均无统计学意义(P>0.05);护理干预后,观察组患者工疗情况、生活能力、社交能力、关心和兴趣评分及IPROS总分均低于对照组,差异有统计学意义(P<0.05).护理干预前,两组患者精神分裂症生活质量量表(SQLS)中心理社会、动机/精力、症状/副反应维度评分比较,差异均无统计学意义(P>0.05);护理干预后,观察组患者心理社会、动机/精力、症状/副反应维度评分均低于对照组,差异有统计学意义(P<0.05).结论 基于微信主导的延续性康复护理有助于缓解精神分裂症患者病耻感,改善患者社会功能和提高患者生活质量.
Evaluation of the rehabilitation effect of WeChat oriented extended rehabilitation care in patients with schizophrenia in remission
Objective To explore the rehabilitation effect of WeChat oriented extended rehabilitation care in remission period patients with schizophrenia.Methods 134 schizophrenia patients discharged during the remission period from May 2021 to April 2023 were selected and divided into an observation group and a control group according to the principle of comparability of basic characteristics between groups,with 67 patients in each group.The control group was given routine continuous rehabilitation care,the observation group was given continuous rehabilitation care based on WeChat oriented.After 6 months of follow-up,the stigma,social function,and quality of life of the two groups were compared.Results After 6 months of follow-up,3 cases in the observation group and 5 cases in the control group were withdrawn.Before the nursing intervention,the total scores of discrimination,concealment,positive effects,and stigma in the two groups were compared,and the difference was not statistically significant(P>0.05).After the nursing intervention,the total scores of discrimination,concealment,positive effects,and stigma in the observation group were lower than that in the control group,and the difference was statistically significant(P<0.05).Before the nursing intervention,there was no statistically significant difference between the two groups in terms of the total score of the occupational therapy,living ability,social ability,care and interest,and the Inpatient Psychiatric Rehabilitation Outcome Scale(IPROS)(P>0.05).After the nursing intervention,the total score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Before the nursing intervention,there was no statistically significant difference between the two groups in the scores of psychosocial,motivation/energy,and Schizophrenia Quality of Life Scale(SQLs)for schizophrenia(P>0.05).After the nursing intervention,the scores of psychosocial,motivation/energy,and symptom/side effect dimensions of the patients in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion Continuous rehabilitation care based on WeChat can help relieve the stigma of schizophrenia patients,improve their social function and improve their quality of life.

SchizophreniaWeChatRehabilitation careStigmaSocial functionQuality of life

张艳、赵芳、张明、马坤、杨光

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山东省戴庄医院精神科(山东省济宁市,272100)

精神分裂症 微信 康复护理 病耻感 社会功能 生活质量

济宁市卫生健康委员会重点研发计划

2022YXNS092

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(8)
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