心理干预对精神分裂症患者维持治疗依从性的作用  

Effect of psychological intervention on the compliance of maintenance treatment in patients with schizophrenia

作　　者：王希红[1] 蒋有霞[1] 

机构地区：[1]山东省精神卫生中心,山东济南250014

出　　处：《齐鲁护理杂志》2010年第10期15-16,共2页Journal of Qilu Nursing

摘　　要：目的:探讨心理干预对精神分裂症患者维持治疗依从性的作用。方法:应用简明精神病评定量表评定患者,对62例首次住院的精神分裂症恢复期患者进行维持服药治疗依从性及影响患者服药因素的调查,并给予相应的心理干预。结果:62例中,47例患者认为出院后继续长期服药治疗没有必要,影响患者服药治疗的因素主要是对药物认识片面,担心影响今后的工作学习及婚育问题。通过及时的心理干预,患者在长期服药、服药时间等因素方面较干预前有明显改善,差异有统计学意义(P<0.05);56例患者认识到出院后应继续服药治疗并且对药物知识了解较干预前全面。结论:心理干预能提高精神分裂症患者长期服药的依从性。Objective：To explore the effect of psychological intervention on the compliance of maintenance treatment in patients with schizophrenia.Methods：The brief psychiatric rating scale was used to make an investigation on the compliance of maintenance treatment of 62 convalescent schizophrenic patients who were hospitalized the first time and on the factors to affect the compliance of medication treatment,and the patients were given appropriate psychological intervention.Results：47 of all patients did not think it necessary to continue long-term medication treatment when they were discharged from hospital.The main factor to affect the compliance of maintenance treatment was patients＇ one-sided understanding of medication treatment,the patients were afraid that the treatment might affect their school study,work,marriage and even fertility.The understanding of the patients was significantly improved in long-term medication and treatment courses through timely psychological intervention compared with that before intervention（P 0.05） ;56 patients recognized the importance of maintenance treatment after the intervention.Conclusion：Psychological intervention can improve the compliance of long-term maintenance treatment l of the patients with schizophrenia.

关 键 词：精神分裂症 心理干预 维持治疗 依从性 

分 类 号：R473.74[医药卫生—护理学]