基于云随访的家庭赋权模式对精神分裂症患者及其主要照顾者的影响

Effects of family empowerment model based on cloud follow-up in schizophrenia patients and their main caregivers

目的探讨基于云随访的家庭赋权模式在精神分裂症患者及其主要照顾者中的应用效果。方法采用便利抽样法,选取2020年1月—2021年6月绍兴市第七人民医院收治的160例精神分裂症患者及其160名主要照顾者作为研究对象,根据随机数字表法将其分为对照组和观察组,每组80例患者及其80名主要照顾者。对照组患者应用常规护理,观察组在对照组的基础上实施基于云随访的家庭赋权护理模式,两组患者均在入组后连续干预6个月。采用Morisky服药依从量表(MMAS-8)、个人和社会功能量表(PSP)、家庭环境量表中文版(FES-CV)、家庭疾病负担量表、焦虑自评量表(SAS)、抑郁自评量表(SDS)评价两组患者的服药依从性及个人社会功能、家庭功能、主要照顾者疾病负担及负性情绪。结果干预6个月后,观察组患者的服药依从性优于对照组,差异有统计学意义(P<0.05);观察组患者的PSP评分高于对照组,且观察组的FEC-CV各维度得分均优于对照组,差异有统计学意义(P<0.05);干预后,观察组的主要照顾者疾病负担及SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。结论基于云随访的家庭赋权模式能提高精神分裂症患者的治疗依从性、个人社会功能并改善家庭环境,且能缓解主要照顾者的疾病负担和不良情绪,值得临床应用。

Objective To explore the effect of family empowerment model based on cloud follow-up in schizophrenia patients and their main caregivers.Methods From January 2020 to June 2021,160 schizophrenics and their 160 main caregivers who were admitted to Shaoxing Seventh People's Hospital were selected as the study subject by convenience sampling.According to the method of random number table,the subjects were divided into control group and observation group,with 80 patients and 80 main caregivers in each group.The patients in the control group were given routine nursing,while the patients in the observation group received family empowerment nursing model based on cloud follow-up on the basis of the control group.Both groups of patients were intervened continuously for six months after enrollment.Morisky Medication Adherence Scale-8(MMAS-8),Personal and Social Performance Scale(PSP),Family Environment Scale-Chinese Version(FES-CV),Self-Perceived Burden Scale(SPBS),Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)were used to evaluate the drug compliance,personal social function,family function of the two groups of patients,disease burden and negative emotions of main caregivers.Results After six months of intervention,the medication compliance of observation group was better than control group,the difference was statistically significant(P<0.05).The PSP score of patients in the observation group was higher than that of the control group,and the FEC-CV scores in all dimensions of the observation group were better than that of the control group,with statistically significant differences(P<0.05).After intervention,the disease burden,SAS and SDS scores of the main caregivers in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).Conclusions The family empowerment model based on cloud follow-up can improve the treatment compliance,personal social function and family environment of schizophrenics,and relieve the disease burden and negative emotions of the main caregivers,which is worthy of clinical practice.