摘要
目的探讨健康教育对首发精神分裂症患者出院1年后结局的影响并分析相关因素。方法采用2010年9—11月在该院随机抽取留陪病房住院的首发精神分裂症患者及家属各107例,分别进行系统的健康教育,出院后进行1年的定期追踪随访,适时进行干预。用自制问卷和精神科量表记录相关数据,评价患者的疗效、服药依从性、复发率、危险行为的发生率和社会功能,并分析影响其结局的相关因素。结果患者在出院后6、12个月PANSS、CGI-SI、SDSS量表各因子分、危险行为总发生率均较出院时下降(P<0.05);危险行为中冲动伤人、自伤、自残、敌意、不合作发生率下降(P<0.05);ITAQ总分、依从性较出院时逐渐增加(P<0.05);病情复发率下降(P<0.05)。健康教育培训后,患者和家属对疾病的健康知识知晓程度逐渐增加,差异具有统计学意义(P<0.05)。结论在精神分裂症患者中,对患者和家属进行精神卫生知识健康教育能更有效的提高患者的疗效和对治疗的依从性,更明显改善自知力,减少复发率,更好地回归社会。
Objective To analyze the influence of health education on schizophrenia patients discharged from hospital after a year of initial condition and related factors. Methods From September to November in 2010, 107 cases of patients with schizophrenia and their family members were randomly selected from the hospital, respectively. Systematic health education, regular follow-up with patients discharged from hospital after one year, and timely intervention were carried out. A self-made questionnaire and psychiatric rating scales were used to collect pertinent data, evaluate of patients, medication compliance, relapse rate, risk behavior and incidence of social function, and to analyze the related factors. Results The scores of PANSS, CGI-SI, SDSS factors, risk behaviors of total incidence were decreased gradually after their dis- charge from hospital, and the differences were statistically significant （ P 〈 0. 05 ）. Incidence of dangerous behavior, such as impulsive self-injurious, self-mutilation, hostility, uncooperative were decreased （ P 〈 0. 05 ）. The total score of ITAQ and medication compliance were increased （ P 〈 0. 05 ）. Disease recurrence rate were decreased gradually （ P 〈 0. 05 ）. After health education, the disease related health knowledge level in patients and their family members were increased gradually, and the differences were statistically significant （P 〈 0. 05 ）. Conclusion This study suggests that antipsychotie drug treatment combined with early mental health education on patients with schizophrenia and their family members are useful to improve the patients treatment compliance, reduce recurrence rate, and improve disease outcomes.
出处
《中国健康教育》
2014年第2期160-163,共4页
Chinese Journal of Health Education
基金
荆州市医疗卫生科技计划项目(20101448)
关键词
健康教育
首发精神分裂症
随访研究
Health education
First-episode schizophrenia
Follow-up study
