中国心理卫生杂志
中國心理衛生雜誌
중국심리위생잡지
Chinese Mental Health Journal
2015年
9期
656-661
,共6页
屈金莲%张涛%宋杰%房海英
屈金蓮%張濤%宋傑%房海英
굴금련%장도%송걸%방해영
精神分裂症%问题解决%电话干预%短信干预%治疗依从性%随访研究
精神分裂癥%問題解決%電話榦預%短信榦預%治療依從性%隨訪研究
정신분렬증%문제해결%전화간예%단신간예%치료의종성%수방연구
schizophrenia%problem-solving%telephone intervention%text-messaging intervention%medication adherence%follow-up studies
目的：探讨以问题解决为基础的电话和短信干预改善出院后精神分裂症患者服药依从性的效果。方法：将178例出院精神分裂症患者随机分为电话干预组（63例）、短信干预组（n ＝61）和对照组（n ＝54），电话和短信干预组患者接受“立足于解决问题干预”的服药依从性干预，三组患者均接受常规治疗并于基线和第1、3、6、9和12个月时进行服药依从性、阳性和阴性症状量表（PANSS）评估。结果：整体上，电话组的服药依从性评分显著高于短信组（P ＜0.001），短信组服药依从性评分高于对照组（P ＜0.001）；电话组和短信组的 PANSS 评分差异无统计学意义（P ＝0.115），但均低于对照组（P ＜0.001）；随访期间，对照组的再住院率高于电话组和短信组（9.3％ vs.0％、1.6％，P ＝0.014）。结论：以问题解决为基础的电话和短信干预均可有效提高出院后精神分裂症患者的服药依从性，从而有利于减少患者的精神症状和降低再住院率。相对而言，电话干预能更好的改善患者的服药依从性。
目的：探討以問題解決為基礎的電話和短信榦預改善齣院後精神分裂癥患者服藥依從性的效果。方法：將178例齣院精神分裂癥患者隨機分為電話榦預組（63例）、短信榦預組（n ＝61）和對照組（n ＝54），電話和短信榦預組患者接受“立足于解決問題榦預”的服藥依從性榦預，三組患者均接受常規治療併于基線和第1、3、6、9和12箇月時進行服藥依從性、暘性和陰性癥狀量錶（PANSS）評估。結果：整體上，電話組的服藥依從性評分顯著高于短信組（P ＜0.001），短信組服藥依從性評分高于對照組（P ＜0.001）；電話組和短信組的 PANSS 評分差異無統計學意義（P ＝0.115），但均低于對照組（P ＜0.001）；隨訪期間，對照組的再住院率高于電話組和短信組（9.3％ vs.0％、1.6％，P ＝0.014）。結論：以問題解決為基礎的電話和短信榦預均可有效提高齣院後精神分裂癥患者的服藥依從性，從而有利于減少患者的精神癥狀和降低再住院率。相對而言，電話榦預能更好的改善患者的服藥依從性。
목적：탐토이문제해결위기출적전화화단신간예개선출원후정신분렬증환자복약의종성적효과。방법：장178례출원정신분렬증환자수궤분위전화간예조（63례）、단신간예조（n ＝61）화대조조（n ＝54），전화화단신간예조환자접수“립족우해결문제간예”적복약의종성간예，삼조환자균접수상규치료병우기선화제1、3、6、9화12개월시진행복약의종성、양성화음성증상량표（PANSS）평고。결과：정체상，전화조적복약의종성평분현저고우단신조（P ＜0.001），단신조복약의종성평분고우대조조（P ＜0.001）；전화조화단신조적 PANSS 평분차이무통계학의의（P ＝0.115），단균저우대조조（P ＜0.001）；수방기간，대조조적재주원솔고우전화조화단신조（9.3％ vs.0％、1.6％，P ＝0.014）。결론：이문제해결위기출적전화화단신간예균가유효제고출원후정신분렬증환자적복약의종성，종이유리우감소환자적정신증상화강저재주원솔。상대이언，전화간예능경호적개선환자적복약의종성。
Objective:To explore the effects of problem-solving based telephone and texting interventions for medication adherence of discharged patients with schizophrenia.Method:A total of 178 discharged patients with schizophrenia were randomly assigned to telephone intervention (TI)group (n =63),text-messaging intervention (TMI)group (n =61),and control group (n =54).All patients were routinely treated,and patients in TI and TMI groups were given problem-solving based interventions.Medication adherence and psychotic symptoms were as-sessed by pill counting and the Positive and Negative Symptom Scale (PANSS)at baseline and the first,third, sixth,ninth and twelfth month.Results:Overall,patients with TI had higher medication adherence than those with TMI (P <0.001),and patients with TMI had higher medication adherence than that in control group (P <0.001). PANSS scores in TI and TMI groups were not significantly different (P >0.05),but significantly lower than control group (P <0.01).There was higher rate of re-admission in control group in comparison with TI and TMI groups (9.3% vs.[0% and 1.6%],P <0.05).Conclusion:It suggests that problem-solving based telephone and texting interventions are effective for improving medication adherence in patients with schizophrenia after their discharge from hospital,so as to reducing psychotic symptoms and lowering re-hospitalization risk.In comparison with TMI, TI has a better effect in improving medication adherence.
