反复发作性精神分裂症的服药认识观及相关因素研究  

Study on Drug Attitude and Related Factors in Recurrent Schizophrenia.

作　　者：黄英[1] 邓克琴 杨坤芳[1] 刘丽[1] 罗庭芳 黄学芬 兰淑芳[1] 

机构地区：[1]中国.四川省自贡市精神卫生中心,643020

出　　处：《中国健康心理学杂志》2009年第2期190-192,共3页China Journal of Health Psychology

摘　　要：目的通过药物治疗态度调查问卷(DAI-30)探讨精神分裂症服药依从性低下的相关影响因素。方法以复发性精神分裂症再入院者为研究对象,DAI-30作为评定工具,调查入院1周时和治疗6周后的药物治疗认识得分,分析与BPRS分支的相关性和职业/文化背景,病程长短,服药种类等与DAI的关系。结果精神分裂症的DAI评分无论在入院初还是6周治疗后均显示分值较低,且与BPRS分值高低呈现明显负相关。体力劳动组的DAI分在入院初和6周时均明显低于脑力劳动和无业组(P=0.03或P=0.00),无人照料组6周时DAI分低于有人照料组(P=0.02),服用SGA组6周时DAI分明显高于FGA和FGA+SGA组(P=0.001)。其他因素比较中未发现有统计学意义差异。结论工作性质、照料环境及药物种类对精神分裂症服药认识会产生明显影响。Objective To Sunvey the related factors of low drug compliance in schizophrenic patients by drug attitude inventory（DAI-30）.Methods Drug treatment awareness score of re-admission recurrent schizophrenia were measured by DAI-30 in week 1 and the end of week 6,correlation of the score with BPRS score and the effects of vocational/cultural background,disease course,medication type on DAI were analyzed.Results The DAI score kept lower level from week 1 to the end of week 6.A significant negative correlation was found between the DAI score and the BPRS score.The DAI score of manual group was significantly lower than that of mental work group or jobless group（P=0.03 or P=0.00）.No relatives cared group score was lower than that of cared by relatives（P=0.02） and the score of SGA group was significantly higher than that of FGA group or FGA＋SGA group（P=0.001） in week 6.Conclusion The nature of work,nursing conditions and types of drugs have a significant effects on the drug attitude of schizophrenic patients.

关 键 词：复发性精神分裂症 再入院 服药认识 相关影响因素 调查 

分 类 号：R749.3[医药卫生—神经病学与精神病学] R441.7[医药卫生—临床医学]