| Objective: To investigate the effect of online follow-up intervention based on cognitive behavioral therapy theory on psychiatric symptoms, medication compliance, social support, self-esteem of schizophrenics in community. Methods: A total of 150 patients with schizophrenia in community in Shanghai were randomly divided into intervention group and control group with 75 cases each. The control group was followed up by community prevention physicians, and the intervention group was followed up by psychiatrists through WeChat or QQ and other media based on cognitive behavioral therapy theory. Positive and negative syndrome scale (PANSS) was used to evaluate the severity of psychiatric symptoms. Medical compliance Rating Scale (MARS), Social support Rating Scale (SSRS) and Rosenberg Self-esteem Scale (RSES) were used to evaluate the rehabilitation effect of patients in social psychological aspects such as medication compliance, social support, self-esteem and personal evaluation. Results: After 24 weeks of intervention, the PANSS score in the intervention group was lower than that before intervention (P<0.01), and the MARS1-4 score, SSRS score and RSES score were higher than those before intervention (P<0.01).After 24 weeks of intervention, the PANSS score in the intervention group was lower (P<0.01), the MARS1-4 score, SSRS score and RSES score were higher (all P<0.01), and the proportion of patients with good medication compliance was higher than that in the control group (P<0.05).Conclusion: Online follow-up interventions based on the theory of cognitive behavioral therapy can reduce the psychiatric symptoms of schizophrenia patients, improve medication compliance, improve social support and self-esteem, and deserve to be promoted in the community. |
