Volume 22 Issue 8
Aug.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(8): 1385-1389
LIN Xuebing, JIN Hanqing, MA Lingya. The influence of multi-dimensional home rehabilitation management based on Wechat mini program on patients with schizophrenia[J]. Chinese Journal of General Practice, 2024, 22(8): 1385-1389. doi: 10.16766/j.cnki.issn.1674-4152.003642
Citation: LIN Xuebing, JIN Hanqing, MA Lingya. The influence of multi-dimensional home rehabilitation management based on Wechat mini program on patients with schizophrenia[J]. Chinese Journal of General Practice, 2024, 22(8): 1385-1389. doi: 10.16766/j.cnki.issn.1674-4152.003642
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The influence of multi-dimensional home rehabilitation management based on Wechat mini program on patients with schizophrenia

doi: 10.16766/j.cnki.issn.1674-4152.003642

  • Department of Psychiatry, Shaoxing Seventh People ' s Hospital, Shaoxing, Zhejiang 312000, China

Funds:

 2022ZH062

  • Received Date: 2024-01-30
    Available Online: 2024-11-19
    Abstract
  •   Objective   To conduct multi-dimensional home rehabilitation management for discharged schizophrenic patients using the Wechat mini program to promote patient rehabilitation.   Methods   A total of 98 patients with schizophrenia discharged from Shaoxing Seventh People ' s Hospital after treatment from December 2021 to December 2022 were divided into control group (49 cases, routine home rehabilitation management) and Wechat group (49 cases, multidimensional home rehabilitation management based on Wechat mini program). Medication adherence, social functioning, psychological symptoms, stigma, neuroelectrophysiology and readmission rates were compared between the two groups.   Results   The medication adherence rating scale (MARS) score in the Wechat group was (7.88±1.36) points, which was higher than that in the control group [(6.10±1.14) points, P < 0.05]. The scale of social function in psychosis inpatients (SSPI) was higher than in the control group (P < 0.05). On the positive and negative syndrome scale (PANSS), the positive symptom score was (7.06±1.34) points, the negative symptom score was (13.56±2.10) points, the general symptom score was (18.34±3.25) points, and the total score was (38.96±5.22) points. They were lower than (9.45±1.47) points, (15.67±2.34) points, (19.56±2.47) points and (44.68±5.03) points in the control group (P < 0.05). The SSMI-C score was lower than in the control group (P < 0.05). The latency of the P300 was lower than in the control group (P < 0.05), and its amplitude was higher than in the control group (P < 0.05). The readmission rate at 6 months was slightly lower than in the control group (P>0.05).   Conclusion   Multi-dimensional home rehabilitation management based on the Wechat mini program can improve medication adherence in discharged schizophrenia patients, help control mental symptoms, improve social functioning, reduce stigma and promote cognitive function improvement.

     

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    • References(23)
  • [1]
    上官琼婧, 王敏. 基于微信平台的延续性护理对出院后精神分裂症患者生活质量及预后的即时性与延时性的影响研究[J]. 贵州医药, 2023, 47(6): 992-993. doi: 10.3969/j.issn.1000-744X.2023.06.092

    SHANGGUAN Q J, WANG M. Study on the influence of continuous care based on wechat platform on the quality of life and the immediacy and delay of prognosis of schizophrenic patients after discharge[J]. Guizhou Medical Journal, 2023, 47(6): 992-993. doi: 10.3969/j.issn.1000-744X.2023.06.092
    [2]
    梁哲, 张燕华, 胡晓龙. 不同社区康复模式对稳定期精神分裂症患者的康复效果比较[J]. 临床精神医学杂志, 2021, 31(3): 214-217. doi: 10.3969/j.issn.1005-3220.2021.03.015

    LIANG Z, ZHANG Y H, HU X L. Comparison of rehabilitation effects of different community-based rehabilitation modes in patients with stable schizophrenia[J]. Journal of Clinical Psychiatry, 2021, 31(3): 214-217. doi: 10.3969/j.issn.1005-3220.2021.03.015
    [3]
    高岩, 王诗尧, 姜李, 等. 微信小程序作业法在脑卒中吞咽障碍患者居家延续护理中的应用[J]. 护理学杂志, 2023, 38(10): 1-4. doi: 10.3870/j.issn.1001-4152.2023.10.001

    GAO Y, WANG S Y, JIANG L, et al. Application of work method by WeChat mini program in home extended care for patients with dysphagia after stroke[J]. Journal of Nursing Science, 2023, 38(10): 1-4. doi: 10.3870/j.issn.1001-4152.2023.10.001
    [4]
    吕荣德, 王秀菊, 杨梦月, 等. 以微信小程序为基础的健康追踪护理平台对体检中T1DM患者自护能力、血糖水平的影响[J]. 齐鲁护理杂志, 2023, 29(1): 13-16. doi: 10.3969/j.issn.1006-7256.2023.01.004

    LYU R D, WANG X J, YANG M Y, et al. Effect of wechat applet based health care tracking platform on the self-care ability and blood glucose level in T1DM patients under medical examination[J]. Journal of Qilu Nursing, 2023, 29(1): 13-16. doi: 10.3969/j.issn.1006-7256.2023.01.004
    [5]
    高巧萍, 张雪倩, 王铖铖. 基于微信小程序的延续护理平台在慢性牙周炎患者中的应用效果[J]. 护理实践与研究, 2022, 19(21): 3260-3263.

    GAO Q P, ZHANG X Q, WANG C C. Application effect of extended care platform based on wechat mini program in patients with chronic periodontitis[J]. Nursing Practice and Research, 2022, 19(21): 3260-3263.
    [6]
    高慧, 涂斯婧, 陆如平, 等. 体卫融合视域下易筋经对稳定期精神分裂症患者症状的改善作用[J]. 世界科学技术-中医药现代化, 2022, 24(8): 3167-3173.

    GAO H, TU S J, LU R P, et al. The rehabilitation effect of Yijinjing on patients with stable schizophrenia from the perspective of integration of sports and health[J]. Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology, 2022, 24(8): 3167-3173.
    [7]
    中华医学会. 临床诊疗指南. 精神病学分册[M]. 北京: 人民卫生出版社, 2006: 168.

    Chinese Medical Association. Clinical guidelines. Psychiatry branch[M]. Beijing: People ' s Medical Publishing House, 2006: 168.
    [8]
    WANG D F, ROSS B, XI C, et al. Medication adherence and its correlates among patients affected by schizophrenia with an episodic course: a large-scale multi-center cross-sectional study in China[J]. Asian J Psychiatr, 2020, 53: 102198. DOI: 10.1016/j.ajp.2020.102198.
    [9]
    张作记. 行为医学量表手册[M/CD]. 北京: 中华医学电子音像出版社, 2005: 15-17.

    ZHANG Z J. Manual of behavioral medicine scales[M/CD]. Beijing: China Medical Electronic Audio and Video Publishing House, 2005: 15-17.
    [10]
    司天梅, 杨建中, 舒良, 等. 阳性和阴性症状量表(PANSS, 中文版)的信、效度研究[J]. 中国心理卫生杂志, 2004, 18(1): 45-47. doi: 10.3321/j.issn:1000-6729.2004.01.016

    SI T M, YANG J Z, SHU L, et al. The reliability, validity of PANSS and its implication[J]. Chinese Mental Health Journal, 2004, 18(1): 45-47. doi: 10.3321/j.issn:1000-6729.2004.01.016
    [11]
    耿峰, 董毅, MICHAEL KING, 等. 精神疾病病耻感量表中文版在精神分裂症患者中应用的信效度[J]. 中国心理卫生杂志, 2010, 24(5): 343-346. doi: 10.3969/j.issn.1000-6729.2010.05.007

    GENG F, DONG Y, MICHAEL K, et al. Reliability and validity of the Chinese-version of stigma scale for mental illness[J]. Chinese Mental Health Journal, 2010, 24(5): 343-346. doi: 10.3969/j.issn.1000-6729.2010.05.007
    [12]
    OYELADE O O, NKOSI-MAFUTHA N G. Expectations and experiences of family members regarding the rehabilitation of relatives with schizophrenia in South West Nigeria[J]. Health Soc Care Community, 2022, 30(5): e1875-e1884.
    [13]
    SAGUD M, MIHALJEVIC PELES A, PIVAC N. Smoking in schizophrenia: recent findings about an old problem[J]. Curr Opin Psychiatry, 2019, 2(5): 402-408.
    [14]
    郭易, 徐沛蒂, 文红, 等. 社区精神分裂症患者服药依从性影响因素的多水平logistic回归分析[J]. 现代预防医学, 2023, 50(13): 2383-2388.

    GUO Y, XU P D, WEN H, et al. Multivariate logistic regression analysis of influencing factors of medication compliance in community schizophrenia patients[J]. Modern Preventive Medicine, 2023, 50(13): 2383-2388.
    [15]
    ZUKOWSKA Z, ALLAN S, EISNER E, et al. Fear of relapse in schizophrenia: a mixed-methods systematic review[J]. Soc Psychiatry Psychiatr Epidemiol, 2022, 57(7): 1305-1318. doi: 10.1007/s00127-022-02220-2
    [16]
    习舒伟, 刘丽, 张娟, 等. 精神分裂症患者服药依从性影响因素的主成分回归分析[J]. 中国卫生统计, 2020, 37(4): 576-579, 582.

    XI S W, LIU L, ZHANG J, et al. Principal component regression analysis of influencing factors of medication compliance in patients with schizophrenia[J]. Chinese Journal of Health Statistics, 2020, 37(4): 576-579, 582.
    [17]
    王贤, 朱益, 徐韦云, 等. 社区精神分裂症患者服药依从性调查及影响因素分析[J]. 国际精神病学杂志, 2020, 47(3): 464-468.

    WANG X, ZHU Y, XU W Y. Investigation of medication compliance and influencing factors of patients with schizophrenia in community[J]. Journal of International Psychiatry, 2020, 47(3): 464-468.
    [18]
    陈丽君, 周群, 谭俊华. 院外精神分裂症患者服药依从性影响因素分析[J]. 临床精神医学杂志, 2019, 29(5): 339-340. doi: 10.3969/j.issn.1005-3220.2019.05.017

    CHEN L J, ZHOU Q, TAN J H. Analysis on influencing factors of medication compliance in outpatients with schizophrenia[J]. Journal of Clinical Psychiatry, 2019, 29(5): 339-340. doi: 10.3969/j.issn.1005-3220.2019.05.017
    [19]
    钟伟英, 黄美莲, 黄海, 等. 长期住院男性精神分裂症稳定期患者社会功能的影响因素[J]. 国际护理学杂志, 2022, 41(24): 4546-4549. doi: 10.3760/cma.j.cn221370-20200816-01153

    ZHOU W Y, HUANG M L, HUANG H, et al. Social function in long-term hospitalized patients with stable schizophrenia and its influential factors[J]. International Journal of Nursing, 2022, 41(24): 4546-4549. doi: 10.3760/cma.j.cn221370-20200816-01153
    [20]
    顾鑫萍, 李玲. 精神分裂症病人病耻感影响因素及干预的研究进展[J]. 护理研究, 2019, 33(24): 4285-4289.

    GU X P, LI L. Research progress on influencing factors and intervention measures of stigma in patients with schizophrenia[J]. Chinese Nursing Research, 2019, 33(24): 4285-4289.
    [21]
    VALERY K M, PROUTEAU A. Schizophrenia stigma in mental health professionals and associated factors: a systematic review[J]. Psychiatry Res, 2020, 290(11): 113.
    [22]
    周玲, 孔红武. 微信平台延续性护理干预对乳腺癌患者术后心理弹性及病耻感的影响[J]. 中华全科医学, 2019, 17(10): 1773-1776. doi: 10.16766/j.cnki.issn.1674-4152.001052

    ZHOU L, KONG H W. Effect of continuous nursing intervention based on Wechat platform on post-operative psychological elasticity and shame of breast cancer patients[J]. Chinese Journal of General Practice, 2019, 17(10): 1773-1776. doi: 10.16766/j.cnki.issn.1674-4152.001052
    [23]
    刘志伟, 姚高峰, 杨荣春, 等. 事件相关电位在早发精神分裂症中的临床应用进展[J]. 中国医药导报, 2022, 19(15): 53-56.

    LIU Z W, YAO G F, YANG R C, et al. Progress in clinical application of event-related potentials in early onset schizophrenia[J]. China Medical Herald, 2022, 19(15): 53-56.
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