| 文红,杨先梅,王维,田绍丽,王丹.绵阳市居家在管精神分裂症患者药物治疗现状调查[J].四川精神卫生杂志,2020,33(6):542-545.Wen Hong,Yang Xianmei,Wang Wei,Tian Shaoli,Wang Dan,Analysis on the medication status of schizophrenia patients at home in Mianyang[J].SICHUAN MENTAL HEALTH,2020,33(6):542-545 |
| 绵阳市居家在管精神分裂症患者药物治疗现状调查 |
| Analysis on the medication status of schizophrenia patients at home in Mianyang |
| 投稿时间：2020-03-09 |
| DOI：10.11886/scjsws20200309002 |
| 中文关键词: 精神分裂症 社区管理 抗精神病药物 服药依从性 |
| 英文关键词:Schizophrenia Community management Antipsychotic drugs Drug compliance |
| 基金项目: |
|
| 摘要点击次数: |
| 全文下载次数: |
| 中文摘要: |
| 目的 掌握绵阳市居家在管精神分裂症患者药物治疗现况，寻找提高居家在管精神分裂症患者管理治疗质量的有效方法。方法 于2018年4月由经统一培训的调查员对绵阳市居家在管精神分裂症患者10 452例及其监护人进行问卷及访谈调查。采用自编绵阳市居家严重精神障碍患者服药情况调查表调查患者的一般情况、近１个月抗精神病药物使用情况及抗精神病药物使用的影响因素。结果 共9 831例精神分裂症患者完成调查，其中7 175例（72.98%）为规律服药，1 238例（12.59%）为间断服药，1 418例（14.43%）为未服药；间断服药及未服药的最主要原因是“患者本人拒绝服药”，共1 791人次（67.43%）；不同服药状况的患者在有无精神病性症状、家庭经济情况上差异均有统计学意义（P<0.05或0.01）；监护人对服药的态度（F=565.770，P<0.01）、患者服药频次（F=308.299，P<0.01）是患者服药态度主要的影响因素。结论 居家在管精神分裂症患者服药依从性受多方面因素的影响，其中其监护人对抗精神病药物的服用态度及患者用药频次是主要的影响因素。 |
| 英文摘要: |
| Objective To collect the medication status of schizophrenia patients at home in Mianyang， so as to explore effective ways to improve the management and treatment for patients.Methods In April 2018， A total of 10 452 schizophrenia patients and their guardians in Mianyang were investigated by a self-designed questionnaire on medication status of patients with severe mental disorders at home in Mianyang by uniformly trained investigators. The contents of the questionnaire included the general situation of the patients， the use of antipsychotic drugs in the past month and the related factors affecting the use of antipsychotic drugs.Results Among 9 831 schizophrenia patients， there were 7 175（72.98%）patients regularly taking medicine， 1 238 （12.59%） patients intermittently taking medicine， and 1 418 （14.43%） patients not taking medicine. The main reason for intermittent medication and non-medication was "the patient refused to take medicine"， accounting for 1 791 cases （67.43%）. There were significant differences in psychotic symptoms and family economic conditions among different medication conditions （P<0.05 or 0.01）. The major factors that affect the patients’ attitude towards taking medicine are guardians' attitude towards medication （F=565.770，P<0.01） and medication frequency （F=308.299，P<0.01）.Conclusion The drug compliance of schizophrenia patients at home is affected by many factors， and the attitude of their guardians and the frequency of antipsychotic drugs were important factors. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |