CAJ | 학술논문

目的：探讨延续性个案管理对出院后精神分裂症患者服药依从性和疾病复发的影响。方法按入院先后次序编号，根据随机数字表法将80例精神分裂症患者分为研究组和对照组，每组40例。两组患者住院期间接受个案管理，出院后对照组采用常规门诊随访，研究组在此基础上实施责任护士延续性的个案管理服务。干预时间1年。观察两组患者服药依从性和疾病复发情况。结果研究组患者服药依从率较对照组高，疾病复发率较对照组低，两组比较，差异均有统计学意义（P＜0.05）。结论对精神分裂症患者实施延续性个案管理，有助于改善其服药依从性，降低疾病复发率，是一种较为有效的医院-社区管理模式。
목적：탐토연속성개안관리대출원후정신분렬증환자복약의종성화질병복발적영향。방법안입원선후차서편호，근거수궤수자표법장80례정신분렬증환자분위연구조화대조조，매조40례。량조환자주원기간접수개안관리，출원후대조조채용상규문진수방，연구조재차기출상실시책임호사연속성적개안관리복무。간예시간1년。관찰량조환자복약의종성화질병복발정황。결과연구조환자복약의종솔교대조조고，질병복발솔교대조조저，량조비교，차이균유통계학의의（P＜0.05）。결론대정신분렬증환자실시연속성개안관리，유조우개선기복약의종성，강저질병복발솔，시일충교위유효적의원-사구관리모식。
Objective To explore the influence of continued case nursing on medicine compliance and disease relapse of patients with schizophrenia.Methods Eighty patients with schizophrenia were divided into experiment group and control group according to admission sequence and random digit table,with 40 in each group. Both groups received case management. The control group received routine outpatient visit.The experiment group received continued nursing of primary nurse’s case management based on traditional method for a year.The two groups were compared in terms of the medicine compliance and disease relapse.Result The medicine compliance of the experiment group was higher than that of control group and the disease relapse of the experiment group was lower than that of control group(P<0.05).Conclusion The continued case nursing to patients with schizophrenia can increase medical compliance and reduce incidence of disease relapse,which is an effective hospital-community management mode.