基于微信平台的延续性护理对女性精神分裂症患者服药依从性、生活质量及复发率的影响

Effect of continuous nursing based on wechat platform on medication compliance,quality of life and recurrence rate of female patients with schizophrenia

目的分析基于微信平台的延续性护理对女性精神分裂症患者服药依从性、生活质量及复发率的影响。方法选取2019年6月~2020年6月我院收治的女性精神分裂症患者116例为研究对象,按随机数字表法分为观察组(n=60)和对照组(n=56)。两组患者均给予抗精神药物治疗,对照组给予常规护理随访,观察组在对照组的基础上给予微信平台的延续性护理服务,比较两组患者出院时、出院后6个月的服药依从性、生活质量、护理满意度及疾病复发情况。结果出院时,两组患者服药依从性比较,差异无统计学意义(P>0.05);出院后6个月,观察组患者服药依从性(86.67%)明显高于对照组(64.29%),差异有统计学意义(P<0.05);出院时,两组患者的心理社会、精力/动机、症状/副作用等生活质量评分比较,差异无统计学意义(P>0.05);出院后6个月,两组患者的心理社会、精力/动机、症状/副作用等生活质量评分均低于出院时,而观察组上述各生活质量评分均低于对照组,差异有统计学意义(P<0.05);出院后6个月,观察组患者护理总满意度(93.33%)明显高于对照组(71.43%),差异有统计学意义(P<0.05);观察组患者复发率(1.67%)明显低于对照组(14.29%),差异有统计学意义(P<0.05)。结论基于微信平台的延续性护理能有效提高女性精神分裂症患者的服药依从性,改善患者的生活质量,提高护理满意度,降低疾病的复发率,值得推广应用。

Objective To analyze the effect of continuous nursing based on WeChat platform on medication compliance,quality of life and recurrence rate of female patients with schizophrenia.Methods A total of 116 female patients with schizophrenia in our hospital from June 2019 to June 2020 were selected as the research objects and randomly divided into observation group(n=60)and control group(n=56).The patients in both groups were treated with antipsychotics,the control group was given routine nursing follow-up,and the observation group provided continuous nursing service on the basis of wechat platform on the basis of the control group,the medication compliance,quality of life,nursing satisfaction and disease recurrence were compared between two groups.Results At discharge,there was no significant difference in medication compliance between the two groups(P>0.05);Six months after discharge,the medication compliance of the observation group(86.67%)was significantly higher than that of the control group(64.29%),the difference was statistically significant(P<0.05);At discharge,there was no significant difference of the quality of life in the scores of psychosocial,energy/motivation,symptoms/side effects between the two groups(P>0.05);Six months after discharge,the quality of life scores of psychosocial,energy/motivation,symptoms/side effects of the two groups were lower than those at discharge,while the scores of quality of life in the observation group were lower than those of the control group,the difference was statistically significant(P<0.05);Six months after discharge,the total nursing satisfaction of the observation group(93.33%)was significantly higher than that of the control group(71.43%),the difference was statistically significant(P<0.05);The recurrence rate of the observation group(1.67%)was significantly lower than that of the control group(14.29%),the difference was statistically significant(P<0.05).Conclusion The continuous nursing based on WeChat platform can effectively improve the medication compliance of female patients with schizophrenia,improve the quality of life,improve the satisfaction with nursing care,and reduce the recurrence rate of diseases,which is worth of popularization and application.