Effect of WeChat intervention on medication compliance， psychotic symptoms and recurrence rate of schizophrenic patients in community： a Meta-analysis
10.11886/scjsws20201108001
- VernacularTitle:微信干预对社区精神分裂症患者服药依从性、精神病性症状及复发率影响的Meta分析
- Author:
Xian WANG
1
;
Weiyun XU
1
;
Jinxia XIONG
1
;
Bohai SHI
1
;
Chuan LI
1
;
Zuowei WANG
1
Author Information
1. Hongkou District Mental Health Center， Shanghai 200083， China
- Publication Type:Journal Article
- Keywords:
WeChat;
Schizophrenia;
Compliance;
Psychotic symptoms;
Recurrence rate;
Meta-analysis
- From:
Sichuan Mental Health
2021;34(1):58-63
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo systematically review the efficacy of intervention by WeChat on medication compliance， psychotic symptom and recurrence rate of schizophrenic patients in community. MethodsDatabases including PubMed， the Cochrane Library， CBM， CNKI， Wanfang Data and VIP were searched electronically from January 1， 2011 to November 1， 2020 to collect randomized controlled trials （RCTs） about the effects of WeChat intervention on community schizophrenic patients. After two reviewers independently screened literature， extracted data and assessed the risk of bias of included studies， the meta-analysis was performed with Stata 12.0 software. ResultsA total of 381 articles were retrieved and finally 10 RCTs were included， including 1 251 patients with WeChat intervention group 641 cases and routine health education group 610 cases. Meta-analysis showed that compared with the conventional health education group， the WeChat intervention group had higher medication compliance （OR=3.05，95% CI：1.98~4.69，P<0.01）， lower PANSS score （SMD=-1.05，95% CI：-1.46~-0.64，P<0.01） and relapse rate （OR=0.34，95% CI：0.24~0.48，P<0.01）. ConclusionThe interactive intervention based on WeChat platform can effectively improve the medication compliance of patients with schizophrenia in the community， help to reduce the severity of psychotic symptoms and the recurrence rate.
