标题：心理健康教育对精神分裂症患者出院后遵医行为的影响

      作者：甘郁文，潘兴华，冯文锐，邓育，胡伟志，郑荣华，潘瑞媚，郑宇婷，黄慧莉，王莉    (江门市第三人民医院精神关爱科，广东 江门 529000)

      卷次： 2017年28卷14期

      【摘要】 目的 探讨心理健康教育对精神分裂症患者出院后遵医行为的影响。方法 选择 2015年 1月至2016年 6月期间江门市第三人民医院收治的 48例精神分裂症患者为研究对象，根据随机数字表法将患者随机分为观察组(n=24)和对照组(n=24)，对照组予常规宣教随访，观察组则联合对患者及患者家属的心理健康教育，干预时间为6个月。比较两组干预后患者家属遵医依从性和患者复发率及生活质量(WHOQOL-BRE评分)的变化。结果 干预6个月时，观察组患者家属遵医依从性评分为(6.94±2.19)分，明显低于对照组(9.01±3.28)分，患者复发率(4.17%)明显低于对照组(20.83%)，差异均有统计学意义(P<0.05)；观察组患者生活质量评分为(78.32±7.51)分，较干预前的(70.16±6.42)分有明显提高，且高于对照组的(71.68±7.29)分，差异均有统计学意义(P<0.05)。结论 心理健康教育可以提高精神分裂症患者出院后的家属的遵医依从性，进而减少患者的复发并改善生活质量。
      【关键词】 精神分裂症；心理健康教育；复发；依从性
      【中图分类号】 R749.3 【文献标识码】 A 【文章编号】 1003—6350（2017）14—2361—03

Effect of mental health education on compliance of discharged patients with schizophrenia.
GAN Yu-wen, PANXing-hua, FENG Wen-rui, DENG Yu, HU Wei-zhi, ZHENG Rong-hua, PAN Rui-mei, ZHENG Yu-ting, HUANG Hui-li,WANG Li. Department of Mental Health, the 3rd People's Hospital of Jiangmen, Jiangmen 529000, Guangdong, CHINA
【Abstract】 Objective To explore the effect of mental health education on compliance of discharged patientswith schizophrenia. Methods A total of 48 patients with schizophrenia hospitalized in our hospital from January 2015to June 2016 were enrolled in this study. They were randomly divided into an observation group (n=24) and a controlgroup (n=24) according to the random number table method. The control group was given routine medical education,and the observation group received a combination of education about patients' and their families' mental health interven-tion for 6 months. Comparison of two groups were explored on the change of the treatment compliance of family mem-bers, recurrence rates and quality of life (WHOQOL-BREF score). Results At 6-month after the specific interventionsto the patients and their families, compliance score of family members for the observation group was (6.94±2.19), signifi-cantly below the score of (9.01±3.28) for the control group; the recurrence rate (4.17%) was significantly lower than thatof the control group (20.83%); the differences were both statistically significant (P<0.05). The quality of life score afterintervention for the observation group was (8.32±7.51), significantly higher than the score of (70.16±6.42) before educa-tion and (71.68±7.29) for the control group (P<0.05). Conclusion The mental health education can improve the compli-ance of patient's family members, reduce the recurrence rates and improve their life quality.
      【Key words】 Schizophrenia; Mental health education; Recurrence; Compliance·临床经验·doi:10.3969/j.issn.1003-6350.2017.14.040基金项目：广东省江门市医疗卫生领域2016年度科技计划项目（编号：2016020100090000935）