基于需求的出院随访对精神分裂症患者的随访效果

Effect of demand-based discharge follow-up on patients with schizophrenia

目的探讨基于需求的出院随访对精神分裂症患者出院随访完成率、满意率和门诊复诊率的影响。方法选取2017年3月-5月在四川省精神卫生中心准备出院的200例慢性精神分裂症患者为研究对象,按照随机数字表法分为对照组和观察组各100例。出院后1月内,对照组采取通用出院电话随访,观察组通过出院随访需求问卷调查后实施个性化出院随访。出院随访后的1周内,由第三方管理咨询公司电话调查两组患者出院随访完成率和满意率;出院随访后1月内,分析两组患者门诊复诊情况。结果对照组出院随访完成率为80%,满意率为80%,门诊复诊率为11%;观察组分别为93%、93%、22%。两组出院随访完成率、满意率和门诊复诊率比较差异均有统计学意义(P<0.05或0.01)。结论实施基于需求的个性化出院随访可能有助于提高精神分裂症患者出院随访完成率、随访满意率和门诊复诊率。

Objective To investigate the effect of demand-based discharge follow-up on the completion rate,satisfaction rate and outpatient follow-up rate of schizophrenia patients.Methods A total of 200 chronic schizophrenia patients discharged from Sichuan Mental Health Center from March to May 2017 were enrolled,and were divided into the control group(n=100)and the observation group(n=100)according to the random number table method.Within one month after discharge,the control group received general telephone follow-up,while the observation group received personalized discharge follow-up based on the questionnaire survey.The completion rate and satisfaction rate of discharge follow-up within one week after discharge were investigated by a third-party management consulting company.Then the outpatient follow-up rate of the two groups within one month after discharge was also analyzed.Results The follow-up rate,satisfaction rate and outpatient follow-up rate of control group showed statistic difference with those in the observation group(80%vs.93%,80%vs.93%,11%vs.22%,P<0.05 or 0.01).Conclusion For schizophrenia patients,the implementation of demand-based personalized discharge follow-up may improve their completion rate,satisfaction rate and outpatient follow-up rate.