家属定期健康教育对精神分裂症患者治疗依从性的影响  

Effect of Simultaneous Health Education for Family on the Compliance of Patients with Schizophrenia

作　　者：苏勉 苏天勋 梁艳[1] 叶健[1] 

机构地区：[1]肇庆市第三人民医院精神科,广东肇庆526060

出　　处：《护理学报》2010年第16期74-76,共3页Journal of Nursing（China）

摘　　要：目的观察实施家属同步健康教育对精神分裂症患者治疗依从性的影响。方法 2007年1月—2008年10月入住的精神分裂症患者共236例,随机分为研究组和对照组各118例,研究组完成随访108例,脱落10例,对照组完成随访100例,脱落18例。研究组每例患者选择1名固定的家属进行健康教育,从入院起每2周通知家属来院,对患者及家属讲授相关知识,在出院后3个月、半年、1年内对研究组患者和家属实施随访干预。对照组患者住院期间同研究组每2周进行相关知识的讲授1次,家属在入院、探视、出院时由主管护士进行上述知识教育,不进行随访教育。采用简明精神病评定量表(Brief Psychiatric Rating Scale,BPRS)、社会功能缺陷筛选表(Social Disability Screening Schedule,SDSS)、自制治疗依从性调查问卷分别于入院第1天、住院第7周末、随访第12个月末进行测评。评价两组患者疗效、治疗依从性及复发率。结果入院第1天,两组患者服药依从性、BPRS和SDSS评分比较,差异均无统计学意义(P>0.05);健康教育后住院第7周末和随访第12个月末研究组患者治疗依从性高于对照组,BPRS、SDSS评分均低于对照组,差异均有统计学意义(P<0.05或P<0.01)。随访第12个月后,研究组患者复发24例,复发率22.2%;而对照组复发47例,复发率47.0%,两组比较差异有统计学意义(P<0.01)。结论对精神分裂症患者家属实施同步健康教育,可提高患者的治疗依从性、降低复发率、改善预后。Objective To discuss the effect of simultaneous health education for family on the compliance of patients with schizophrenia.Methods 236 patients with schizophrenia from January 2007 to October 2008 were randomly divided into two groups.In experimental group,one family member of the patients was received related health education and follow-up lasted for one year.And in control group,health education was performed at the time of admission,visiting and discharge while without follow-ups.Brief Psychiatric Rating Scale（BPRS）,Social Disability Screening Schedule（SDSS） and a self-designed compliance questionnaire were applied to compare compliance and relapse rate in two groups.Results No difference of compliance,score of BPRS and SDSS occurred at the first day of admission（P〉0.05）.However,at the end of the 7th weeks of health education,patients’ compliance in experimental group was higher than that in control group and with lower score of BPRS and SDSS（P〈0.05 or P〈0.01）.And at the end of the 12th month of follow-up,the relapse rate in experimental group was lower than that in control group（P〈0.01）.Conclusion The implementation of simultaneous health education for family members could improve patient treatment compliance,reduce the relapse rate and improve prognosis.

关 键 词：精神分裂症 患者家属 健康教育 依从性 

分 类 号：R473.74[医药卫生—护理学]