摘要
目的探讨医院-社区一体化随访模式对精神分裂症患者服药依从性的影响。方法将2016年1月—2017年1月在医院心身科和中西医结合科住院经系统治疗达到临床痊愈,简明精神病评定量表(BPRS)≤28的出院精神分裂症患者96例,按出院顺序随机分为干预组和对照组各48例,两组患者均规范服药,对照组门诊复诊或到当地社区发药点免费取药,干预组由研究组成员牵头,联合社区精防医生进行了为期1年的随防干预。观察两组患者出院时、随防干预半年及1年后病情、服药依从性情况,比较两组患者出院1年后复发率。结果干预组的BPRS总分低于对照组,差异有统计学意义(P﹤0.01),干预组的服药依从性高于对照组,差异有统计学意义(P﹤0.01),干预组的复发率(20.83%)低于对照组(38.78%),差异有统计学意义(X^2=4.03,P﹤0.05)。结论医院-社区一体化随访对稳定精神分裂症患者病情,提高服药依从性,降低复发率具有积极的作用。
Objective To explore the effect of hospital-community integration follow-up pattern on medication compliance in patients with mental disorder. Methods From January 2016 to January 2017,96 patients were treated effectively with systemic therapy in psychosomatic department and TCM WM department,and 96 discharged mental disorder patients were treated with brief psychiatric rating scale（ BPRS） ≤ 28. The patients were randomly divided into 48 cases in the intervention group and the control group; both groups were standardized medication; control group received an outpatient referral,intervention group combined with medical doctors in our hospital and community doctors for one year follow-up intervention. Observed the condition of illness and medication compliance after six months and one year intervention between two groups,compared the patient recurrence rate of one year after discharge. Results BPRS score of intervention group was significantly lower than control group（ P〈0. 01）,the difference was statistically significant,while intervention group had higher compliance than control group（ P〈0. 01）,and the difference was statistically significant. Recurrence rate（20. 83%） of intervention group was significantly lower than control group（38. 78%）（X2= 4. 03,P〈0. 05）,the difference was statistically significant. Conclusion Hospital-community integration follow-up has positive effect on stabilizing patients with mental disorder and improving compliance and decreasing relapse rate.
作者
杨婕
苏天勋
姚秀凤
侯洁生
何燕飞
赵斌斌
梁艳
罗小群
YANG Jie;SU Tianxun;YAO Xiufeng;HOU Jiesheng;HE Yanfei;ZHAO Binbin;LIANG Yan;LUO Xiaoqun(The Third People＇s Hospital of Zhaoqing City,Zhaoqing 526060,China)
出处
《现代医院》
2018年第5期684-687,共4页
Modern Hospitals
基金
肇庆市科技创新指导类项目(201704030708)
关键词
医院-社区一体化随访
精神分裂症
服药依从性
Hospital- community Integration Follow- up
Mental Disorder
Compliance with Medication
