摘要
目的探讨微信干预对精神分裂症患者院外康复的卫生经济学价值。方法选择浙江省宁波市精神病院和湖北科技学院附属第二医院精神科2017年1-4月出院患者作为研究对象,将200例精神分裂症患者随机分为微信组和对照组,每组100例。患者临床痊愈出院后,对照组门诊随诊,微信组微信干预,时间2年。用阳性与阴性症状量表(PANSS)、个人与社会功能量表(PSP)、精神分裂症生活质量量表(SQLS-R4)和疾病家庭负担量表(FBS)分别评定患者病情、社会功能、生活质量和疾病家庭负担的变化,并进行康复成本-效益分析。采用SPSS 18.0软件进行χ^2检验、t检验和重复测量资料方差分析。结果微信组各评分时段(出院后6、12、18、24月)PANSS、SQLS-R4和FBS总分减分幅度均明显大于对照组,PSP增分幅度和劳动价值均明显大于对照组,各时段累计总成本均明显低于对照组,总效益和效益/成本比值均明显大于对照组,差异均有统计学意义(P<0.01)。结论微信干预有助于提高精神分裂症患者康复效益,降低康复成本,比门诊随诊具有更好的卫生经济学价值。
Objective To explore the health economic value of intervention by WeChat on rehabilitation of the outpatients with schizophrenia. Methods The discharge patients from January to April of 2017 in Ningbo psydniatric hospital of Zhejiang Province and the psychiatry department of the second affiliated hospital in Hubei scientific and technique college were selected as the subjects,200 schizophrenia patients were randomly divided into WeChat group(100 cases) and control group(100 cases). After discharge, control group was followed up in clinic and WeChat group was intervened by WeChat for 2 years. The Positive and Negative Syndrome Scale(PANSS),the Personal and Social Performance Scale(PSP),the Schizophrenia Quality of Life Scale Revision 4(SQLS-R4) and Family Burden Scale of Disease(FBS) were used to evaluate the changes of the patient condition,social function, life quality and family disease burden. The rehabilitation cost-benefit was analyzed. The t test,χ^2 test and analysis of variance of repeated measurement data were used to analyze the data. The used software was SPSS 18.0. Results In 6,12,18 and 24 months after discharge,the decreases in total scores of PANSS,SQLS-R4 and FBS in WeChat group were significantly higher than those in control group, the increase of PSP and labor value in WeChat group were significantly higher than those in control group, the cumulative total cost in each period in WeChat group was significantly lower than that in control group,the total benefit and benefit/cost ratio in WeChat group were significantly higher than those in control group(P<0.01). Conclusion The intervention of WeChat could contribute to improve the effectiveness of rehabilitation for the patients with schizophrenia, and to reduce the rehabilitation cost, the health economic value of intervention of WeChat was better than that of clinic following up.
作者
刘堂龙
曾德志
刘祖松
LIU Tang-long;ZENG De-zhi;LIU Zu-song(The Psychology Department of the Ningbo Psychiatric Hospital,Ningbo,Zhejiang Province 315032,China;不详)
出处
《中国慢性病预防与控制》
CAS
CSCD
北大核心
2019年第12期899-903,共5页
Chinese Journal of Prevention and Control of Chronic Diseases
基金
湖北省卫生计生委科研项目(WJ2017F114)。
关键词
精神分裂症
微信
康复
卫生经济学
Schizophrenia
WeChat
Rehabilitation
Health economics
