摘要
目的探索基于网络平台的医院-社区-家庭管理模式在抑郁症患者出院管理中的应用效果。方法将150例住院抑郁症患者随机分成观察组和对照组各75例。对照组患者给予常规出院后随访,观察组采用基于网络APP的医院-社区-家庭联合的管理模式。分别在出院后1个月、3个月和6个月时评估两组患者的服药信念和服药依从性。结果观察组患者出院后不同时间点感知到的服药必要性得分显著高于对照组,抑郁及服药顾虑得分显著低于对照组(均P<0.05)。出院后3个月、6个月,观察组患者服药依从性显著高于对照组(P<0.05,P<0.01)。结论构建基于网络平台的医院-社区-家庭联合的管理模式可以为抑郁症患者提供出院后的延续治疗护理,帮助其树立正确的服药信念,提高服药依从性。
Objective To explore the effect of web-based hospital-community-family management model in patients with depression.Methods One hundred and fifty patients with depression were equally randomized into a control group and an intervention group,receiving either routine follow-up after discharge or web-based hospital-community-family management using App.Medication beliefs and adherence of patients in both groups were evaluated at 1,3 and 6 months after discharge.Results The score of belief in the necessity of medicine was significantly higher,whereas that of concerns was significantly lower in the intervention group compared with the control group at different time points(P<0.05 for all).The intervention group had higher medication adherence than the control group at 3 and 6 months after discharge(P<0.05,P<0.01).Conclusion Implementation of the web-based hospital-community-family management model in patients with depression can ensure continuity of care,thus to help them adopt correct medication beliefs and enhance medication adherence.
作者
李金红
尹利
Li Jinhong;Yin Li(Depression Treatment Center,Beijing Anding Hospital of Capital Medical University,Beijing 100088,China)
出处
《护理学杂志》
CSCD
北大核心
2019年第22期92-94,共3页
Journal of Nursing Science
关键词
抑郁症
医院
社区
家庭
网络平台
服药信念
服药依从性
depression
hospital
community
family
web platform
medication beliefs
medication adherence
