互联网随访对精神分裂症患者院外康复效果的影响

Effect of Internet Follow-up on the Outpatient Rehabilitation of Patients with Schizophrenia

目的探究互联网随访对精神分裂症患者院外康复效果的影响。方法方便选取该院2016年6月—2017年6月期间康复出院的精神分裂症患者104例为研究对象,按随机数表法分为观察组和对照组,每组52例,其中观察组患者出院后每月定期微信、QQ等互联网随访综合性干预,对照组每月定期门诊随访干预。比较两组患者出院后2年内阳性和阴性症状量表评分、个人和社会功能量表评分以及服药依从性和复发情况。结果观察组患者出院后6、12、18以及24个月PANSS评分均显著低于对照组,组间比较差异有统计学意义(P<0.05);观察组患者出院后6、12、18以及24个月PSP评分均显著高于对照组,组间比较差异有统计学意义(P<0.05);出院2年后,观察组患者总服药依从率(86.54%)明显高于对照组(63.46%),差异有统计学意义(χ^2=7.380,P=0.010),同时观察组患者复发率(11.54%)显著低于对照组(28.85%),差异有统计学意义(χ^2=4.830,P=0.030)。结论互联网随访对精神分裂症患者进行综合性干预,可显著改善患者的精神症状以及社会功能,明显提高服药依从性和降低复发率,值得在临床中推广。

Objective To investigate the effect of Internet follow-up on the outpatient rehabilitation of patients with schizophrenia.Methods A total of 104 patients with schizophrenia who were discharged from the hospital from June 2016 to June 2017 were convenient selected and enrolled.The patients were divided into observation group and control group according to the random number table.Each group consisted of 52 patients,including the observation group.After discharge from the hospital,regular monthly follow-up interventions such as WeChat and QQ were conducted on a regular basis.The positive and negative symptom scale scores,personal and social function scale scores,and medication adherence and recurrence were compared between the two groups after 2 years after discharge.Results The PANSS scores of the observation group were significantly lower than those of the control group at 6,12,18 and 24 months after discharge.The difference between the two groups was statistically significant(P<0.05).The observation group patients were discharged after hospital 6,12,18 and the 24-month PSP scores were significantly higher than the control group,and the differences between the groups were statistically significant(P<0.05).After 2 years of discharge,the total medication compliance rate(86.54%)was significantly higher in the observation group than in the control group,the difference was statistically significant(63.46%)(χ^2=7.380,P=0.010),and the recurrence rate of the observation group(11.54%)was significantly lower than that of the control group(28.85%),the difference was statistically significant(χ^2=4.830,P=0.030).Conclusion Comprehensive follow-up of schizophrenia patients through Internet follow-up can significantly improve the patient's mental symptoms and social function,significantly improve medication compliance and reduce recurrence rate,and it is worthy of promotion in the clinic.