CAJ | 학술논문

目的探讨电话随访对精神分裂症患者家庭康复的影响.方法将200例精神分裂症患者分为试验组和对照组,每组各100例,住院期间按诊疗常规治疗护理,给予非典型抗精神病药治疗,临床痊愈出院后,对照组门诊随诊,试验组电话随访干预,时间2年.结果两组阳性与阴性症状量表(PANSS)评分有随时间变化的趋势(F 组内=85.943, P=0.000),干预与时间有交互效应(F 交互=6.458, P=0.000)且存在组间差异(F 组间=26.012, P=0.000);同期对照比较,在出院后6、12、18、24个月末,试验组增分幅度均小于对照组(P<0.05),各时点累计复发率和复发次数试验组均低于对照组(P<0.05).结论电话随访可提高精神分裂症患者家庭康复效果,有利于患者保持病情稳定,减少复发.
목적탐토전화수방대정신분렬증환자가정강복적영향.방법장200례정신분렬증환자분위시험조화대조조,매조각100례,주원기간안진료상규치료호리,급여비전형항정신병약치료,림상전유출원후,대조조문진수진,시험조전화수방간예,시간2년.결과량조양성여음성증상량표(PANSS)평분유수시간변화적추세(F 조내=85.943, P=0.000),간예여시간유교호효응(F 교호=6.458, P=0.000)차존재조간차이(F 조간=26.012, P=0.000);동기대조비교,재출원후6、12、18、24개월말,시험조증분폭도균소우대조조(P<0.05),각시점루계복발솔화복발차수시험조균저우대조조(P<0.05).결론전화수방가제고정신분렬증환자가정강복효과,유리우환자보지병정은정,감소복발.
@@@@Objective To explore the influence of telephone follow-up on home rehabilitation for patients with schizophrenia. Methods 200 patients with schizophrenia were assigned into experimental group and control group with 100 cases in each group. During their hospi-talization, all patients were given conventional treating and nursing and were treated with atypical antipsychotic drugs. After getting a clini-cal recovery and discharge, the experimental group received telephone follow-up for 2 years while the control group received outpatient ser-vice follow-up. Results There was significant difference in scores of Positive and Negative Syndrome Scale (PANSS) in both groups with time (F=85.943, P=0.000). There was a significant interaction effect between intervention and time (F=6.458, P=0.000) and there was also a significant difference (F=26.012, P=0.000) between both groups on the scores of PANSS. At the end of the 6th, 12th, 18th and 24th month after discharge, the PANSS scores were significantly less in the experimental group than in the control group (P<0.05). The accumulative to-tal relapse rate and frequency were significantly lower in the experimental group than in the control group anytime after discharge (P<0.05). Conclusion The telephone follow-up can significantly improve the effect of home rehabilitation for the patients with schizophrenia. It is ben-eficial for the patients to control disease and reduce the relapse.