在线式延续性护理管理对精神分裂症患者预后的即时性与延时性比较分析

摘要：目的 本研究旨在探讨基于微信平台的延续性护理对出院后精神分裂症患者生活质量及预后的即时性与延时性的影响。方法 选取符合ICD-10诊断标准的同期出院精神分裂症患者100例。随机分为观察组和对照组，每组50例，对照组给予常规电话随访，观察组在对照组的基础上给予基于微信平台的延续性护理干预，干预6个月，随访12个月。记录两组生活质量量表得分、服药率、复发率；比较两组患者出院时、出院6个月、出院12个月生活质量及预后的即时性与延时性。结果 生活质量量表中心理社会、动机/精力、症状副反应得分经重复测量方差分析得出时间与组别均存在显著的交互效应，观察组患者出院6个月生活质量（心理社会、动机/精力、症状副反应）得分显著低于出院12个月，对照组患者出院6个月和出院12个月生活质量（心理社会、动机/精力、症状副反应）得分差异均无统计学意义。出院6个月，观察组患者在服药依从性、病情复发显著优于对照组。出院12个月，两组患者在服药依从性与复发率差异均无统计学意义。结论 基于微信平台的延续性护理管理可以即时地提高出院后精神分裂症患者生活质量、改善服药依从性、降低复发率，即时性效果较好，但不具有延时性效果。

A comparative analysis of the immediacy and delay of online continuing care management for the prognosis of patients with schizophrenia

ABSTRACT: Objective: This study aims to explore the impact of continual care based on WeChat platform on the immediate and delayed quality of life and prognosis of patients with schizophrenia after discharge from the hospital. Methods: A total of 100 patients with schizophrenia who were discharged from the hospital during the same period that met the ICD-10 diagnostic criteria were selected. Randomly divided into observation group and control group with 50 cases in each group. The control group was given regular telephone follow-up, and the observation group was given continuous care intervention based on the WeChat platform on the basis of the control group. The intervention was for 6 months and the follow-up was 12 months. The scores, medication rates, and recurrence rates of the two groups of quality of life scales were recorded; the immediate and delayed quality of life and prognosis of the two groups of patients at discharge, 6 months after discharge, and 12 months after discharge were compared. Results :The scores of psychosocial, motivation/energy, and symptom side effects in the quality of life scale were analyzed by repeated measures of variance. It was found that there was a significant interaction effect between time and group. The scores of energy, symptom side effects) were significantly lower than 12 months after discharge. There was no statistically significant difference in the quality of life (psychosocial, motivation/energy, symptom side effects) scores of patients in the control group at 6 months and 12 months after discharge. After 6 months of discharge, patients in the observation group were significantly better than the control group in medication compliance and recurrence. After 12 months of discharge, there was no statistically significant difference in medication compliance and recurrence rate between the two groups of patients. Conclusion:Continuing care management based on WeChat platform can instantly improve the quality of life of patients with schizophrenia after discharge from hospital, improve medication compliance, and reduce recurrence rate. The immediate effect is good, but it does not have a delayed effect.