摘要
目的研究分析基本公共卫生服务项目社区随访服务对首发精神分裂症患者康复的影响.方法选取2018年4月—2020年4月日照市岚山区碑廓中心卫生院收治的84例首发精神分裂症患者作为研究对象,按照双色球分组法将患者分为对照组和观察组,每组42例.其中,对照组采用常规干预,观察组在此基础上联合应用基本公共卫生服务项目社区随访服务,对比两组患者干预1年后的病情变化.结果两组患者干预前的BPRS评分对比,差异无统计学意义(P>0.05).两组干预3、6、12个月的BPRS评分均低于干预前,且观察组BPRS评分低于对照组,差异有统计学意义(P<0.05).观察组干预3、6、12个月的疾病复发率低于对照组,差异有统计学意义(P<0.05).结论基本公共卫生服务项目社区随访服务可有效提高首发精神分裂症患者的治疗效果,促使患者遵医嘱规律用药,有效降低患者的疾病复发率,整体干预效果理想,值得推广应用.
Objective To study and analyze the impact of community follow-up services of basic public health service project on the rehabilitation of first-episode schizophrenic patients.Methods A total of 84 patients with first-episode schizophrenia admitted to Health Center of Beikuo in Lanshan District from April 2018 to April 2020 were selected as study subjects.According to the the two-color ball grouping method,the patients were divided into the control group and the observation group,with 42 patients in each group.In the control group,routine interventions were used,and on this basis,the observation group used community follow-up service of basic public health services.The condition change of the two groups patients after 1 year of intervention were compared.Re⁃sults The difference in BPRS scores between the two groups before intervention was not statistically significant(P>0.05).The BPRS scores of the two groups after 3,6 and 12 months of intervention were all lower than those before intervention,and the BPRS scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).The disease recurrence rates of the observation group after 3,6 and 12 months of intervention were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion The community follow-up service of basic public health service project can effectively improve the treatment effect of first-episode schizophrenia patients,promote patients to take medicine regularly according to the doctor's advice,and effectively reduce the disease recurrence rate of patients.The overall intervention effect is ideal and worthy of promotion and application.
作者
刘学华
LIU Xuehua(Health Center of Beikuo in Lanshan District,Rizhao City,Rizhao Shandong,276809,China)
出处
《反射疗法与康复医学》
2020年第17期154-156,共3页
Reflexology And Rehabilitation Medicine
关键词
基本公共卫生服务项目社区随访服务
常规干预
首发精神分裂症
Community follow-up services of basic public health service projects
Routine intervention
First-episode schizophrenia
