摘要
目的：采用示范模仿法培训农村精神分裂症患者手机短信使用能力,评估项目采用手机短信干预患者治疗的可行性。方法：研究对象来源于＂中国浏阳农村精神分裂症患者手机短信支持项目＂。研究对象为手机短信使用能力有缺陷的精神分裂症患者（n=62）。采用示范模仿法培训精神分裂症患者学习手机开机、关机、充电、查看短信、正确回复短信功能,评估患者培训前后短信使用能力的变化情况。结果：患者能正确开机、关机和充电等手机基础使用能力从培训前的43.5%提高到培训后的56.5%（Kappa=0.22,P=0.025）,差异有统计学意义;患者查看手机短信能力由41.9%增加51.6%（Kappa=0.48,P〈0.001）,差异有统计学意义;患者回复短信能力从3.2%提高到46.8%（Kappa=0.073,P〈0.001）,差异有统计学意义。同时,比较培训前能回复短信和不能回复短信的两组患者人口学特征表明,性别（χ^2=6.229,P=0.032）、年龄（χ^2=10.848,P=0.028）、受教育程度（χ^2=12.829,P=0.000）、整体疾病严重程度（χ^2=3.921,P=0.048）的差异均有统计学意义。结论：对农村精神分裂症患者来说,经示范模仿法培训后,患者手机短信使用能力显著提高。示范模仿法培训可能是促进精神分裂症患者正确使用短信的有效途径,其中,男性、年轻、受教育程度高、病情轻的患者经培训后短信使用能力提升更为明显。
Objective：To train the rural schizophrenic patients by using the＂demonstration-imitation＂training,and evaluate the change of their text-messaging use ability.Methods：The research object was from the ＂mobile phone message support project with schizophrenia in rural Liuyang,China＂;62 schizophrenic patients with criteria reported poor text-messaging skills.The model imitation method was used to train schizophrenic patients to learn cell phone opening,shutdown,charging,text messages,and correct response to SMS,and to evaluate the changes of the ability to use SMS before and after the training.Results：After training,percentage of patients able to startup,shutdown and charging mobile phone changed from 43.5% to 56.5%（Kappa=0.22,P〈0.05）,the difference was statistically significant（P〈0.05）;Percentage of checking the text-messaging increased from 41.9% to 51.6%（Kappa=0.48,P〈0.001）,the difference was statistically significant;Percentage of response of the text-messaging increased from 3.2%to 46.8%（Kappa=0.073,P〈0.001）,the difference was statistically significant.After training,the demographic characteristics were compared between patients who could and who could not complete the ＂three tasks＂,and the chi square test results showed difference on gender,age,education level,the overall disease severity（χ^2=6.229,10.848,12.829,3.921;P〈0.05）.Conclusion：For rural patients with schizophrenia,the use of mobile phone text-messaging can be improved significantly after the ＂Demonstration-imitation＂training.In addition,training can better improve the patient＇s who are young,male,has high education level and light illness capacity to use text-messaging.
作者
赵美
龚雯洁
徐东
黄志平
胡宓
聂娟
肖水源
ZHAO Mei;GONG Wenjie;XU Dong(Xiangya School of Public Health,Central South University,Changsha 410078,China)
出处
《中国健康心理学杂志》
2018年第10期1450-1454,共5页
China Journal of Health Psychology
基金
CMB项目(编号:12-114)
NIH项目(编号:#R25TW009345)
关键词
手机短信使用能力
示范模仿法
精神分裂症
精神分裂症临床
总体印象量表
Text-- messaging Mils
Demonstration-- imitation＂ training
Schizophrenia
General assessment ofschizophrenia
CGI-- Sch
