根据病程对精神分裂症男性患者实施针对性健康教育的效果评价

Effect assessment of targeted health education for male patients with schizophrenia according to the course of disease

目的 评价根据病程对精神分裂症男性患者实施针对性健康教育对服药依从性与社会功能康复的效果。方法将2015年1~6月滨州市优抚医院男一病区住院的符合精神分裂症诊断标准（DSM-IV）且无严重躯体疾病的126例男性精神分裂症患者为研究对象,按照住院号顺序随机分为观察组（单号组）和对照组（双号组）。对观察组采用根据病程有针对性的教育方法,在疾病的治疗、康复的不同阶段设立不同的教育目标;对照组则采用精神科常规健康教育方法,评价两组患者出院后6个月的服药依从性和社会功能康复情况。结果 观察组服药依从性为87.30%,优于对照组的76.19%,差异有统计学意义（P〈0.05）。两组社会功能缺陷筛选量表中职业和工作、父母职能、家庭外社会活动、家庭职能、对外界兴趣和关心、责任心和计划性比较,差异有统计学意义（P〈0.05）。结论 根据病程对精神分裂症男性患者实施针对性健康教育可明显提高患者的服药依从性,促进社会功能康复,从而提高患者生活质量。

Objective To evaluate the effects of targeted health education on the compliance of medication and social function of male patients with schizophrenia according to the course of disease.Methods 126 hospitalized male patients in Male One Ward of Youfu Hospital of Binzhou City from January to June 2015 according to the diagnostic criteria for schizophrenia （DSM-Ⅳ）） and no serious physical illness were selected as research object,and they were randomly divided into observation group （odd numbers group） and control group （even numbers group） by the order of hospitalization.Patients in the observation group were given targeted health education according to the course of disease and set up different educational objectives in different stages of the disease treatment and rehabilitatlon;patients in the control group were used conventional methods of heahh education in psychiatric department,medication compliance and social function in two groups were evaluated in 6 months after discharge.Results The compliance of the observation group was 87.30%, better than 76.19% of the control group,and the difference was statistically significant （P〈0.05）.There was statistically significant difference of occupation and work,parents function,social activities outside the home,family function,interest and concern to the outside world,responsibility and planning in two groups among SDSS （P〈0.05）.Conclusion According to the course of disease,the implementation of targeted health education for male patients with schizophrenia can significantly improve the medication compliance and social functional rehabilitation,so as to improve the quality of life of patients.