借助信息化技术对社区严重精神障碍患者实施一体化管理的干预效果

Intervention effect of implementing integrated management for community patients with severe mental disorders using information technology

目的:探讨借助信息化平台对严重精神障碍患者实施家庭-社区-医院三方联动一体化管理模式的效果。方法:选取2022年6月—2023年3月在武汉市精神卫生中心随访的严重精神障碍患者89例为研究对象,对照组45例实施常规随访管理,干预组44例在对照组基础上组建多学科健康管理团队、开展三阶梯培训、构建信息化平台,并运用信息化平台实现由家庭-社区-医院三方联动管理,干预周期为3个月。在入组时、干预4周、12周、24周分别收集资料,比较两组患者的服药依从性、社会功能。结果:干预组患者在干预4周、12周、24周3个随访时段的服药依从性和社会功能评分均较干预前明显上升(P<0.05);组间比较发现,干预组社会功能得分在3个随访时段均高于对照组,且差异都有统计学意义(P<0.05);干预组患者在干预4周和12周两个随访时段的服药依从性评分均较对照组明显上升(P<0.05),干预24周时与对照组差别不具备统计学意义(P>0.05)。结论:基于信息化的三方联动模式能提高患者的服药依从性,有效改善患者的社会功能。

Objective:To explore the effectiveness of implementing a tripartite integrated management model of family community hospital linkage for patients with severe mental disorders using informa⁃tion technology platforms.Methods:A total of 89 patients with severe mental disorders who were fol⁃lowed up at Wuhan Mental Health Center from June 2022 to March 2023 were selected as the re⁃search subjects.The control group consisted of 45 patients who underwent routine follow⁃up manage⁃ment.However,the intervention group consisted of 44 patients and was followed up by a multidisci⁃plinary health management team,who received three⁃tiered training and built an information platform based on the control group.The information platform was used to achieve tripartite linkage manage⁃ment from family,community,and hospital,with an intervention period of 3 months.Then we col⁃lected the data at the time for enrollment,4 weeks,12 weeks,and 24 weeks of intervention,and compared the medication compliance and social function between the two groups.Results:The medi⁃cation compliance and social function scores of patients in the intervention group at the three follow⁃up periods of 4 weeks,12 weeks,and 24 weeks were significantly higher than those before the interven⁃tion(P<0.05).Inter⁃group comparison results showed that the scores of medication compliance in the intervention group were higher in the three follow⁃up periods than in the control group with a statis⁃tically significant difference(P<0.05).Compared with the control group,The scores of social func⁃tion in the intervention group were significantly increased at 4 weeks and 12 weeks of intervention(P<0.05).However,there was no statistical difference between the intervention and the control group at 24 weeks(P<0.05).Conclusion:The tripartite linkage model based on informatization can effectively improve patient medication compliance and social function.