电话随访对出院抑郁症患者治疗依从性的影响

The influence of therapeutic compliance about telephone follow-up on depression patients

目的了解电话随访对首次住院治疗出院后的抑郁症患者治疗依从性的干预情况。方法将100例首次住院治疗出院后的抑郁症患者随机分为研究组和对照组,对研究组出院1年内完成15次的电话随访,对照组仅在出院后1个月内完成1次电话随访。对两组患者在不同阶段抑郁症知识得分、服药依从性、疾病复发率进行随访和比较。结果研究组在出院后9个月和1年时,简明精神病评定量表评分和疾病复发率明显低于对照组(P<0.05或P<0.01);研究组患者的自知力与治疗态度问卷量表评分在出院后3个月、9个月和1年时均明显高于对照组(P<0.05);研究组患者完全依从服药和抑郁症相关知识得分在出院后3个月、9个月和1年时均明显高于对照组(P<0.01)。结论 实施电话随访,有利于提高抑郁症患者服药依从性,从而降低疾病复发率。

Objective To know intervention of therapeutic compliance about telephone follow-up on epression patients after first hospitalization.Methods 100 depression patients after first hospitalization were divided into researching group and control one randomly,and the researching group was made 15 times telephone follow-up in 1 year after hospitalization,but for control group,there was 1 time telephone follow-up in 1 month after hospitalization,then we compared the cognition score,medication compliance,illness recurrence rate between two group on different stage.Results The brief psychiatric rating scale（BPRS） score and illness recurrence rate in researching group at 9th month and 1 year after hospitalization were obviously lower than those of control one（P0.05 or P0.01）;the self-cognition ability and ITAQ score in researching group at 3rd month,9th month and 1 year after hospitalization were obviously higher than those of control one（P0.05）;and the medication compliance and cognition score in researching group at 3rd month,9th month and 1 year after hospitalization was higher than that of control one（P0.01）.Conclusion The telephone follow-up could increase the medication compliance for depression patients,and consequently reduce the illness recurrence rate.