摘要
目的探讨综合干预模式在精神病分裂症患者健康教育中的应用。方法抽取绵阳市某医院120例精神分裂症患者,按照随机数字表法随机分为对照组和干预组,每组60例,对照组采用常规的精神病药物治疗及传统的社区精神医疗卫生服务,干预组实施综合干预模式,2组患者均随访干预时间1年,比较2组的健康教育效果。结果干预后,干预组患者精神分裂症知识:病因及诱因(43.33%),主要临床症状(55.00%),遗传、应激和个性心理特征对精神分裂症的作用(45.00%),药物不良反应(48.33%),心理治疗的重要性(53.33%),定期复诊的重要性(61.67%),功能锻炼的重要性(55.00%)及其他知识知晓率均高于对照组(P<0.05或P<0.01)。干预组患者的心理社会评分(14.16±2.84)、动力与精力评分(14.52±3.39)、症状与副作用评分(8.45±6.31)均低于对照组(P<0.05或P<0.01)。干预组患者坚持用药(75.00%),定期复诊(71.67%),家庭及社会支持(58.33%),形成良好生活习惯(55.00%)均高于对照组(P<0.01),干预组患者疾病复发情况(18.33%),再住院情况(16.67%)均低于对照组(P<0.01)。结论综合干预模式能提高精神分裂症患者的疾病知识水平、生活质量和社会功能,减少患者疾病的复发率和再住院率。
Objective To explore the effect of comprehensive intervention model in health education among schizophrenia patients. Methods Totally 120 schizophrenia patients were chosen by the method of random numbers, and divided into control group and intervention group, 60 cases in each group. Patients in control group were received conventional medical treatment and traditional community mental health services, while the intervention group received comprehensive intervention, all the patients were followed up for 12 months. Results 12 months after intervention, the rate of knowledge related to etiology and predisposing factor （43.33%）, the main symptoms of schizophrenia （55.00%）, the role of genetic stress, mental characteristics and individual （45.00%） , adverse drug reaction （48.33%） , the importance of psycho- therapy （53.33%）, the importance of regular reexamination （61.67%）, the importance of functional exercise （55.00%） and other knowledge in intervention group were higher than that of control group （P 〈0. 05 or P 〈0. 01 ）. The quality of life in psychosocial scores （ 14. 16 ± 2. 84）, motivation and energy scores （ 14. 52 ± 3.39）, symptoms and side- effects scores （8.45 ± 6. 31 ） in intervention group were lower than the control group （P 〈 0.05 or P 〈 0. 01 ）. Compared with the control group, the rate of drug compliance （75.00%） , regular review （71.67%） , family and social support （58.33%） , had a good living habits （55.00%） were higher in the intervention group （ P 〈 0. 01 ） , while the rate of dis- ease recurrence （ 18.33% ） , rehospitalization （ 16. 67% ） were lower in the intervention group （P 〈0. 01 ）. Conclusion The comprehensive intervention model can improve knowledge, quality of life, social function, and reduce the rate of recurrence of disease and re-hospitalization among schizophrenia.
出处
《中国健康教育》
北大核心
2017年第6期548-551,共4页
Chinese Journal of Health Education
基金
绵阳市卫计委卫生计生项目(2016026)
关键词
精神分裂症
综合干预
健康教育
效果
Schizophrenia
Comprehensive intervention
Health education
Effect
