朱剑,史战明,刘家胜,陈登国,孙蒙,温红霞,蒋国庆,罗丽霞,谢聪,刘红艳,周小红,平兴俊,刘志丹,郑伟.一户多名严重精神障碍家庭监护人现状及患者服药依从性影响因素调查[J].四川精神卫生杂志,2019,32(5):422-426.
一户多名严重精神障碍家庭监护人现状及患者服药依从性影响因素调查
Investigation on the family guardians status and influence factors about medication compliance of patients from family with more than one severe mental disorder patients
投稿时间:2019-01-09  
DOI:10.11886/j.issn.1007-3256.2019.05.008
中文关键词:  严重精神障碍  现状  监护人  服药依从性
英文关键词:Severe mental disorder  S tatus  Medication compliance  Guardians
基金项目:
作者单位邮编
朱剑 重庆市江北区精神卫生中心 400025
史战明 重庆市江北区精神卫生中心 400025
刘家胜 重庆市江北区精神卫生中心 400025
陈登国 重庆市江北区精神卫生中心 400025
孙蒙 重庆市江北区精神卫生中心 400025
温红霞 重庆市江北区精神卫生中心 400025
蒋国庆 重庆市精神卫生中心 401147
罗丽霞 重庆市精神卫生中心 401147
谢聪 重庆市沙坪坝区精神卫生中心 400038
刘红艳 重庆市沙坪坝区精神卫生中心 400038
周小红 重庆三峡中心医院平湖分院 404100
平兴俊 重庆市沙坪坝区精神卫生中心 400038
刘志丹 重庆市沙坪坝区精神卫生中心 400038
郑伟 广州医科大学附属脑科医院 510370
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中文摘要:
      目的 调查一户多名严重精神障碍患者家庭监护人现状和患者服药依从性的影响因素,为有针对性地对此群体给予精神卫生服务提供参考。方法 于2017年11月-2018年5月从国家严重精神障碍管理治疗系统中选取重庆市江北区、沙坪坝区、万州区一户多名严重精神障碍患者家庭110户,采用自制调查表收集患者及其监护人一般人口学资料及患者临床资料、服药情况等。结果 ①在110户严重精神障碍患者家庭中,无监护人家庭为10户(9.1%),有1名监护人的家庭为84户(76.4%),有2名监护人的家庭为16户(14.5%);②有3名患者的家庭共4户(3.6%),有2名患者的家庭共106户(96.4%);③患者服药依从性与其居住地(r=0.201,P<0.01)、是否与监护人同住(r=0.193,P<0.01)及受教育程度(r=0.370,P<0.01)呈正相关,两名患者服药依从性之间呈正相关(r=0.451,P<0.01);④有序Logistic回归分析显示,是否与监护人同住(OR=-1.14)、小学及以下(OR=20.24)、初中受教育程度(OR=18.94)对患者服药依从性产生影响。结论 一户多名严重精神障碍患者之间服药依从性呈正相关,与监护人同住是患者服药依从性的保护因素,患者受教育程度低是服药依从性的危险因素。
英文摘要:
      Objective To investigate the status of family guardians and influencing factors of medication compliance of patients from the family with more than one severe mental disorder patients, and to provide references for the targeted mental health services for the patients.Methods From November 2017 to May 2018, 110 families of more than one patients with severe mental disorder were selected from the national management and treatment system of severe mental disorder in Jiangbei district, Shapingba district and Wanzhou district of Chongqing. The self-made questionnaire was adopted to collected the general demographic data, clinical data and medication compliance.Results ① Of the 110 families with severe mental disorder patients, 10 (9.1%) were unsupervised, 84 (76.4%) families with 1 guardians, and 16 (14.5%) families with 2 guardians. ② There were 4(3.6%) families had 3 patients, and 106(96.4%) families had 2 patients. ③ Medication compliance of the patients was positively correlated with their residence (r=0.201, P<0.01), living with guardians (r=0.193, P<0.01) and education level (r=0.370, P<0.01), and the medication compliance of the two patients in the same family was positively correlated (r=0.451, P<0.01).④ Orderly Logistic regression analysis showed that living with the guardian (OR=-1.14), primary education and below (OR=20.24) and junior education level (OR=18.94) would influence patients' medication compliance.Conclusion The medication compliance of patients from families with more than one severe mental disorder patients is positively correlated. Living with guardians may be a protective factor for patients' medication compliance, while low education level may be the risk factor.
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