摘要
目的分析互联网随访系统对精神分裂症患者自我管理支持的影响。方法选取2020年10月至2021年4月江西省精神病院出院的120例精神分裂症患者作为研究对象,采用随机数字表法分为对照组(60例)与观察组(60例),其中对照组脱落2例,观察组脱落4例,最终对照组58例,观察组56例。对照组采用常规出院随访,观察组根据制订的专科化计划,利用医院互联网随访服务管理系统进行随访。比较两组自我效能感量表(GSES)评分,自尊量表(SES)评分及病耻感量表(SSMI-C)评分。结果两组患者出院1、3、6个月,出院1年的GSES评分高于出院时,且观察组患者出院1、3、6个月,出院1年的GSES评分高于对照组,差异有统计学意义(P<0.05)。两组患者出院1、3、6个月,出院1年的SES评分高于出院时,且观察组患者出院1、3、6个月,出院1年的SES评分高于对照组,差异有统计学意义(P<0.05)。两组患者出院1、3、6个月,出院1年的SSMI-C评分低于出院时,且观察组患者出院1、3、6个月,出院1年的SSMI-C评分低于对照组,差异有统计学意义(P<0.05)。结论互联网随访系统可帮助精神分裂症患者自我管理能力增高,增加自尊感,减少病耻感,值得于临床推广。
Objective To analyze the effect of internet follow-up system on self-management support of patients with schizophrenia.Methods A total of 120 patients with schizophrenia discharged from Jiangxi Psychiatric Hospital from October 2020 to April 2021 were selected as the research objects and divided into control group(60 cases)and observation group(60 cases)by random number table method.Two cases fell off in the control group,4 fell off cases in the observation group,ultimately 58 cases in the control group and 56 cases in the observation group.The control group was followed up by routine discharge,while the observation group was followed up by the hospital internet follow-up service management system according to the formulated specialized plan.The scores of general self-efficacy scale(GSES),self-esteem scale(SES)and stigma scale for mental illness(SSMI-C)were compared between the two groups.Results The GSES scores of patients in the two groups at 1,3,6 month and 1 year after discharge were higher than those at discharge,and the GSES scores of patients in the observation group at 1,3,6 month and 1 year after discharge were higher than those in the control group,and the differences were statistically significant(P<0.05).The SES scores of patients in the two groups at 1,3,6 months and 1 year after discharge were higher than those at discharge,and the SES scores of patients in the observation group at 1,3,6 months and 1 year after discharge were higher than those in the control group,and the differences were statistically significant(P<0.05).The SSMI-C scores of patients in the two groups at 1,3,6 month and 1 year after discharge were lower than those at discharge,and the SSMI-C scores of patients in the observation group at 1,3,6 month and 1 year after discharge were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Internet follow-up system can improve self-management ability and self-esteem,and reduce stigma in patients with schizophrenia.
作者
代丽
王玲玲
朱芳珍
DAI Li;WANG Lingling;ZHU Fangzhen(Department of Nursing,Jiangxi Psychiatric Hospital,Jiangxi Province,Nanchang 330000,China)
出处
《中国当代医药》
CAS
2022年第31期189-192,共4页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(202211449)。
