微信推送在重度抑郁症缓解期患者中的应用效果

Application effect of WeChat push in patients with remittent stage of severe depression

目的研究微信推送在重度抑郁症缓解期患者中的应用效果。方法选取2015年12月~2017年8月山东省聊城市第四人民医院精神科收治的90例重度抑郁症患者为研究对象,采取随机双盲法将研究对象分为对照组和观察组,每组各45例。对照组采用常规治疗,观察组在对照组常规治疗的基础上,定期通过微信号推送微信知识。比较两组治疗前后的汉密尔顿抑郁量表(HAMD)、日常生活能力量表(ADL)、汉密尔顿焦虑量表(HAMA),及两组治疗后的服药依从性评分、抑郁症复发率和再住院率。结果观察组最终纳入35例,对照组最终纳入39例。治疗前,两组HAMD、ADL、HAMA比较,差异无统计学意义(P>0.05);治疗后,两组HAMD、ADL、HAMA评分均低于治疗前,且观察组HAMD、ADL、HAMA评分均低于对照组,差异有统计学意义(P<0.05)。观察组服药依从性评分高于对照组,差异有统计学意义(P<0.05)。治疗后,两组抑郁症复发率和再住院率比较,差异无统计学意义(P>0.05)。结论微信推送能够缓解重度抑郁症患者的抑郁症状及焦虑症状,提高患者服药依从性性和日常生活能力。

Objective To study the application effect of WeChat push in patients with remittent stage of severe depression. Methods A total of 90 patients with severe depression admitted to Department of Psychiatry, Liaocheng Fourth People′s Hospital in Shandong Province from December 2015 to August 2017 were selected as research object, they were divided into the control group and the observation group by random double-blind method, with 45 cases in each group. The control group were treated with conventional therapy, and the observation group regularly promoted WeChat knowledge through WeChat ID on the basis of conventional therapy in the control group. The Hamilton depression scale (HAMD), activity of daily living scale (ADL), Hamilton anxiety scale (HAMA) of the two groups before and after treatment were compared, as well as medication compliance score, recurrence rate of depression and rehospitalization rate of the two groups after treatment were compared. Results Finally, 35 cases were included in the observation group and 39 cases were included in the control group. Before treatment, the HAMD, ADL, HAMA of the two groups were compared, and the differences were not statistically significant (P>0.05). After treatment, the HAMD, ADL and HAMA scores in the two groups were lower than those before treatment, and the HAMD, ADL and HAMA scores in the observation group were lower than those in the control group, the differences were statistically significant (P<0.05). The medication compliance score in the observation group was higher than that in the control group, the difference was statistically significant (P<0.05). After treatment, there was no statistically significant difference in recurrence rate of depression and rehospitalization rate between the two groups (P>0.05). Conclusion WeChat push can relieve depressive symptoms and anxiety symptoms of patients with major depression, improve medication compliance and activity of daily living of patients.