Zhu Jian,Shi Zhanming,Liu Jiasheng,Chen Dengguo,Sun Meng,Wen Hongxia,Jiang Guoqing,Luo Lixia,Xie Cong,Liu Hongyan,Zhou Xiaohong,Ping Xingjun,Liu Zhidan,Zheng Wei,Investigation on the family guardians status and influence factors about medication compliance of patients from family with more than one severe mental disorder patients[J].SICHUAN MENTAL HEALTH,2019,32(5):422-426

Investigation on the family guardians status and influence factors about medication compliance of patients from family with more than one severe mental disorder patients

DOI：10.11886/j.issn.1007-3256.2019.05.008

English keywords:Severe mental disorder S tatus Medication compliance Guardians

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Author Name	Affiliation	Postcode
Zhu Jian	Chongqing Jiangbei Mental Health Center, Chongqing 400025, China	400025
Shi Zhanming	Chongqing Jiangbei Mental Health Center, Chongqing 400025, China	400025
Liu Jiasheng	Chongqing Jiangbei Mental Health Center, Chongqing 400025, China	400025
Chen Dengguo	Chongqing Jiangbei Mental Health Center, Chongqing 400025, China	400025
Sun Meng	Chongqing Jiangbei Mental Health Center, Chongqing 400025, China	400025
Wen Hongxia	Chongqing Jiangbei Mental Health Center, Chongqing 400025, China	400025
Jiang Guoqing	Chongqing Mental Health Center, Chongqing 401147, China	401147
Luo Lixia	Chongqing Mental Health Center, Chongqing 401147, China	401147
Xie Cong	Chongqing Shapingba Mental Health Center, Chongqing 400038, China	400038
Liu Hongyan	Chongqing Shapingba Mental Health Center, Chongqing 400038, China	400038
Zhou Xiaohong	Chongqing Three Gorges Center Hospital Pinghu Branch, Chongqing 404100, China	404100
Ping Xingjun	Chongqing Shapingba Mental Health Center, Chongqing 400038, China	400038
Liu Zhidan	Chongqing Shapingba Mental Health Center, Chongqing 400038, China	400038
Zheng Wei	The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou Huiai Hospital, Guangzhou 510370, China	510370

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English abstract:

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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