吴秋凤 沈翠珍

[摘要] 目的 分析借助于微信平台对精神分裂症患者进行健康教育是否可以提高其自我护理能力。 方法 选择2018年6月至2019年6月入我院诊断为精神分裂症的患者120例，随机分为对照组和观察组，每组各60例，对照组采用常规专科护理管理，观察组结合微信管理平台进行健康教育。比较两组患者的自护能力评分、健康知识知晓率和掌握率、护理质量评分和满意度。 结果 观察组自护能力总分为（92.47±1.23）分，明显高于对照组的（81.78±1.65）分（P<0.01）;观察组健康知识知晓率、掌握率分别为95.00%和80.00%，明显高于对照组的81.67%和63.33%（P<0.05）;观察组护理质量评分为（86.47±11.25）分，明显高于对照组的（78.36±9.64）分（P<0.05）;观察组十分满意率为91.67%，明显高于对照组的78.33%（P<0.05）。 结论 基于微信平台的健康教育可明显改善精神分裂症患者的自我护理能力、健康知识知晓率和掌握率，对提高护理服务质量及满意率均有重要意义。

[关键词] 微信管理平台;精神分裂症;健康教育;自我护理能力;护理质量

[Abstract] Objective To analyze the feasibility of implementing health education for patients with schizophrenia by means of WeChat platform to improve their self-care ability. Methods A total of 120 patients with schizophrenia diagnosed who in our hospital from June 2018 to June 2019 were selected and randomly divided into a control group and an observation group， with 60 cases in each group. The control group was given routine nursing management， and the observation group was combined with WeChat management platform for health education. The self-care ability score， health knowledge awareness and mastery rate， nursing quality score and satisfaction were compared between the two groups. Results Total score of self-care ability in the observation group was（92.47±1.23） points， which was significantly higher than that in the control group（[81.78±1.65] points）（P<0.01）; the health knowledge awareness rate and mastery rate in the observation group were 95.00% and 80.00% respectively， which were significantly higher than those of 81.67% and 63.33% in the control group（P<0.05）; the nursing quality score in the observation group was（86.47±11.25） points， which was significantly higher than that in the control group（[78.36±9.64] points）（P<0.05）; the very satisfaction rate in the observation group was 91.67%， which was significantly higher than that of 78.33% in the control group（P<0.05）. Conclusion Health education based on WeChat platform can significantly improve the self-care ability， health knowledge awareness rate and mastery rate of patients with schizophrenia， and is of great significance to improve the quality of nursing services and satisfaction rate.

[Key words] WeChat management platform; Schizophrenia; Health education; Self-care ability; Quality of nursing

精神科住院患者常見焦虑、抑郁、精神分裂、癔症、妄想等，可继发于机体器质性病变，也可单纯精神异常[1]。精神分裂症是十分常见的一类精神性疾病，目前关于精神分裂症的具体机制还不十分清楚，可能与遗传和环境变化有关[2]。精神性疾病不同于其他神经性或躯体性疾病，患者可能间歇性或持续性丧失理智，缺乏正确理解和交流能力，自我护理能力也严重下降，需要依赖他人才能完成正常生活，也给护理工作增加了极大难度[3-6]。近年来，随着移动信息技术的广泛应用，微信平台在人们获取信息和即时交流中起到了重要的作用。以微信平台为基础的临床护理管理模式为护理提供了新形式，弥补了常规护理模式的缺陷[7-8]。本研究主要分析以微信管理平台为基础的健康宣教在改善精神分裂症患者健康教育、用药依从性和自我护理能力中的应用效果，现报道如下。……