范利芳,陈岚,李姝.出院准备度评估在首发精神分裂症患中的应用[J].四川精神卫生杂志,2020,33(3):241-243.
出院准备度评估在首发精神分裂症患中的应用
Application of discharge readiness assessment in patients with first-episode schizophrenia
投稿时间:2019-04-11  
DOI:10.11886/scjsws20190411002
中文关键词:  出院准备度评估  首发精神分裂症  康复  满意度
英文关键词:Discharge readiness assessment  First-episode schizophrenia  Rehabilitation  Satisfaction degree
基金项目:
作者单位邮编
范利芳 四川省精神卫生中心·绵阳市第三人民医院四川 绵阳 621000 621000
陈岚 四川省精神卫生中心·绵阳市第三人民医院四川 绵阳 621000 621000
李姝 四川省精神卫生中心·绵阳市第三人民医院四川 绵阳 621000 621000
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中文摘要:
      目的 探讨出院准备度评估对首发精神分裂症患者出院后康复情况的影响。方法 选取2016年10月-2017年3月在四川省精神卫生中心住院、符合《国际疾病分类(第10版)》(ICD-10)精神分裂症诊断标准的首发精神分裂症患者60例,采用随机数字表法分为研究组和对照组各30例。两组患者均接受奥氮平治疗4周及以上,对照组由医生评估后下达医嘱办理出院,研究组由医生评估后下达出院医嘱,并接受出院准备度量表(RDQ)评定,评估达到标准后再办理出院。对两组患者在出院后1月、6月、12月通过电话或门诊随访的方式进行回访,采用自制出院回访调查表了解患者出院后康复情况。结果 出院后研究组与对照组复发且再次入院、出现情绪问题、生活不能自理、自行停药情况、睡眠异常5个方面差异均有统计学意义(P均<0.05)。出院后1月,研究组满意度高于对照组,差异有统计学意义(P<0.05)。结论 对于首发精神分裂症患者,通过出院准备度评估,可能有助于判断患者出院后进一步康复的能力。
英文摘要:
      Objective To investigate the effect of discharge readiness assessment on post-discharge rehabilitation of first-episode schizophrenia patients.Methods From October 2016 to March 2017, a total of 60 first-episode schizophrenia patients hospitalized in Sichuan Mental Health Center and met the diagnostic criteria for schizophrenia in the International Classification of Diseases, tenth edition (ICD-10) were enrolled, and were divided into two groups by random number table method, each with 30 cases. Both groups received olanzapine treatment for at least 4 weeks. Discharge services for control group were supervised by attending physician, while patients in study group were evaluated by both attending physician and Readiness for Discharge Questionnaire (RDQ) before discharge. Both groups were followed-up by telephone or outpatient clinic at the 1st month, 6th month and 12th month after discharge, respectively. Meanwhile, the post-discharge rehabilitation quality of patients was assessed by self-made questionnaires.Results After discharge, two groups had significant difference in the incidence rate of relapse and readmission, emotional problems, being incapable of taking care of themselves, self-medication withdrawal and sleep disorders (P<0.05). One month after discharge, the satisfaction degree of study group was higher than that of control group (P<0.05).Conclusion For patients with first-episode schizophrenia, discharge readiness assessment can effectively judge whether the patients have the ability of further rehabilitation after discharge.
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