运用知情同意干预改善精神分裂症康复期患者的治疗依从性  

Applying informed consent to improve therapy compliance of rehabilitated schizophrenics

作　　者：曹新妹[1] 毕翠云[1] 陆中霞[1] 陆萍 郑慧芳[1] 朱学勤[1] 

机构地区：[1]上海市精神卫生中心,200030

出　　处：《上海精神医学》2004年第4期237-239,共3页Shanghai Archives of Psychiatry

摘　　要：目的　探索知情同意干预能否提高病人的治疗依从性。方法　选择部分住院精神分裂症康复期病人 12 0例 ,随机分为对照组和研究组各 6 0例 ,男、女各 6 0例 ,研究组病人除进行常规治疗和护理外 ,在康复期过程中再接受知情同意干预。评定工具为自行设计知情同意问卷及病人治疗依从性问卷各 1份 ,经信度、效度测定r>0 .77。结果　研究组病人经知情同意干预后 ,治疗依从性明显优于对照组。三项内容 (治疗、检查、护理依从性 )均有显著性差异 (P <0 .0 5 )。结论　知情同意干预能提高病人治疗依从性 ,从而促进病人的康复 ,对预防复发也具有很重要的意义。Objective: To explore whether informed consent could improve the treatment compliance of patients with schizophrenia. Methods: 120 rehabilitated schizophrenics were selected and randomly divided into study group and control group. There were 60 patients in each group. All the patients accepted routine therapy and nursing, and the study group also were intervened by additional informed consent. Self-designed informed consent questionnaire and therapy compliance questionnaire were applied. Results: The therapy compliance of the patients of the study group was significantly better than that of the control group. There was significant difference between the two groups on therapy, examination and nursing compliance (P<0.05). Conclusion: Informed consent could improve the therapy compliance ,promote rehabilitation and prevent relapse.

关 键 词：知情同意 精神分裂症 康复期 治疗依从性 护理 

分 类 号：R749.3[医药卫生—神经病学与精神病学]