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《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:

21

期数:

2020年03期

页码:

352-355

栏目:

论　著

出版日期:

2020-03-28

文章信息/Info

Title:

Effects of stylized early intervention on treatment adherence, life quality and sleep quality in patients with first-episode schizophrenia

作者:

龙洁; 万静

中山市第三人民医院早期干预科，广东 中山 528451

Author(s):

LONGJie; WANJing

DepartmentofEarly Intervention,ThirdPeople’sHospitalofZhongshan, Zhongshan528451,Guangdong,China Correspondingauthor:LONGJie,E-mail:1025645801@qq.com

关键词:

精神分裂症; 早期干预; 生活质量; 睡眠质量; 服药依从性

Keywords:

Schizophrenia;  Early intervention;  Life quality;  Sleep quality;  Medication compliance

分类号:

R473.5

DOI:

-

摘要:

目的 探讨早期综合干预对首发精神分裂症患者治疗依从性、生活质量和睡眠质量的影响。方法 选取 2017年4月—2018年2月入住中山市第三人民医院的78例首发精神分裂症住院患者，随机分为观察组和对照组。 对照组患者予以住院精神科常规护理、出院指导及社区跟踪随访等常规护理方式，观察组在对照组常规护理方式 的基础上实行为期8周的住院治疗干预及1年的出院跟踪回访的早期综合干预。选用精神分裂症患者生活质量指 数量表（Schizophrenia Quality of Life Scale，SQLS）和匹茨堡睡眠质量指数量表（Pittsburgh sleep quality index，PSQI）评估患者的生活质量、睡眠质量改善情况，选用用药依从性问卷（Morisky）评定患者出院后1年 的服药依从性及再次入院率。结果 干预后，观察组患者的生活质量、睡眠质量评分均低于对照组[（15.46± 5.85）vs.（25.26±6.56）分；（5.05±3.30）vs.（7.92±3.37）分，均P<0.05]。出院后1年观察组的再次入院率 （10.26%）低于对照组（15.38%），差异有统计学意义（P<0.05），观察组服药依从性改善较对照组更为显著 （P<0.05）。结论 对首发精神分裂症患者开展早期综合干预有助于改善患者的生活质量、睡眠质量，提高患者 服药依从性，降低再次入院率，从而促进康复。

Abstract:

Objective To explore the effects of comprehensive early intervention on treatment adher-ence，life quality and sleep quality among patients with first-episode schizophrenia. Methods Totally 78 cases of patients with first-episode schizophrenia were randomly divided into study group and con-trol group, who admitted to Third People’s Hospital of Zhongshan from April 2017 to February 2018. The patients in control group were given routine nursing methods such as ordinary psychiatric nursing, discharge guidance and community follow-ups, while the patients in study group received an additional 8-weeks treatment intervention in hospital and1 year comprehensive early intervention of follow-ups after discharged on the basis of intervention in the control group. Schizophrenia Quality of Life Scale （SQLS）and the Pittsburgh sleep quality index（PSQI）were used to assess the life quality and im-provement of sleep quality among patients with schizophrenia. The Morisky questionnaire was used to assess the patient’s medication compliance and the Re-admission rate during 1 year after discharge. Results After intervention, the life quality and sleep quality scores in the study group were lower than those in the control group （15.46±5.85 vs. 25.26±6.56，5.05±3.30 vs. 7.92±3.37, P<0.05）.The re-admission rate in the study group was lower than that in the control group during1 year after discharge（10.26%vs. 15.38%,P<0.05），and the medication compliance had improved significantly（P< 0.05）. Conclusion Comprehensive early intervention can help to improve life quality, sleep quality, medication compliance and reduce re-admission rates among patients with first-episode schizophrenia, so as to promote rehabilitation.

参考文献/References:

[1] 张洁,陆峥.精神分裂症复发与疾病进展[J].世界临床药物,2014, 35(9):566-569. [2] 龙翔云,刘娜,陆峥.精神分裂症早期预防与干预[J].世界临床药 物,2016,37(1):4-7. [3] Laws KR. Commentary: does cognitive behavior therapy for psychosis (CBTp) show a sustainable effect on delu-sions? A meta-analysis [J]. Front Psychol, 2016,7(2):59. [4] 徐良雄,孙晓璐,熊昌娥,等.康复干预项目措施对100例恢复期精 神分裂症患者影响[J].中国健康心理学杂志,2017,25(1):1-4. [5] 杨婷婷,童叶青,殷晓旭,等.Morisky服药依从性量表、家庭AP-GAR问卷在结核病患者中的应用评价[J].中国社会医学杂志, 2016,33(6):580-582. [6] 曹家艳,王来利,向玉林,等.遵义市精神分裂症患者生活质量和 认知功能现况及其相关性[J].中国慢性病预防与控制,2019,27 (1):36-37. [7] 王涵.早期干预对精神分裂症住院患者康复影响的研究[J].世界 最新医学信息文摘,2016,16(70):317. [8] Tsui CF, Huang JL, Simon SY,et al. Facial emotion perception abnormality in patients with early schizophrenia [J]. Schizophr Res, 2013,147(2-3):230-235. [9] 张玉珊,李华军,冯健燎.早期干预对精神分裂症住院患者康复影 响的研究[J].中国医药科学,2016,6(21):134-136. [10] 巢丽红,王秀霞,赵惠英.我国医护合作查房工作模式应用研究进 展[J].中西医结合护理(中英文),2018,4(05):166-168. [11] Morrison AP, Turkington D, Pyle M,et al. Cognitive therapy for people with schizophrenia spectrum disorders not taking antipsychotic drugs: a single- blind randomised controlled trial [J]. Lancet, 2014,383(9926):1395-1403. [12] 林志平,赵安晶,甘红梅,等.精神科程式化健康教育对精神分裂症 患者康复的作用[J].解放军预防医学杂志,2016,34(3):392-395. [13] 徐良雄,孙晓璐,熊昌娥,等.康复干预项目措施对100例恢复期精 神分裂症患者影响[J].中国健康心理学杂志,2017,25(1):1-4. [14] 刘洪燕,张琨,孙谟健.康复护理对精神分裂症患者睡眠质量的影 响[J].世界睡眠医学杂志,2018,5(10):1207-1209. [15] 王云芳,黄志平,徐东,等.精神分裂症患者服药依从性的测量方 法[J].中南大学学报(医学版),2016,41(02):218-224. [16] Kao YC, Liu YP. Compliance and schizophrenia: the pre-dict- tive potential of insight into illness, symptoms, and side effects [J]. Comper Psychiatry, 2010,51(6):557-565. [17] 张红梅,赵占胜,孙志刚,等.精神分裂症恢复期复发影响因素的 研究[J].国际精神病学杂志,2017,44(3):411-413,426. [18] 廖敬良,钟远慧,王昭,等.服药依从性的提高对出院精神分裂症 患者精神症状及生活质量的影响[J].中国医药科学,2018,8(23): 228-231. [19] 朱映梅,李红,严菊霞,等.精神分裂症患者采用出院计划干预的 对照研究[J].护理学报,2018,25(14):65-68.

备注/Memo

备注/Memo:

基金项目：广东省中山市卫生和计划生育局医学科研基金资助项目（2017A020386） 作者简介：龙洁，大学本科，主管护师，研究方向：精神分裂症早期干预，临床心理护理 通信作者：龙洁，E-mail：1025645801@qq.com

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更新日期/Last Update: 2020-03-28