应用多媒体加强认知治疗对躁狂症患者依从性的研究  

Influence of cognitive therapy strengthened by multimedia on compliance of patients with mania

作　　者：谢文娇[1] 谢翊 肖育卿[3] 肖勃[1] 

机构地区：[1]汕头大学精神卫生中心,515065 [2]汕头市金平区第一中医医院,515041 [3]汕头大学医学院第一附属医院,515041

出　　处：《国际医药卫生导报》2013年第17期2659-2662,共4页International Medicine and Health Guidance News

基　　金：广东省医学科研基金项目（A2010417）

摘　　要：目的观察应用多媒体加强认知治疗对躁狂症患者治疗依从性的影响。方法将60例躁狂症患者随机分为认知治疗组和对照组。两组均接受抗躁狂药物治疗，认知治疗组在此基础上应用多媒体加强认知治疗，而对照组仅限于一般健康教育。采用Bech—Rafaelsen躁狂量表（BRMS）、自知力与治疗态度问卷（ITAQ）、服药依从性调查表，分别于治疗前、治疗后4周末、8周末、1年后各评定1次。结果治疗后，两组BRMS、ITAQ、服药依从性比较差异有统计学意义（P〈0．01或P〈0．05），均以认知治疗组较好。结论应用多媒体加强认知治疗能有效提高躁狂症患者服药依从性，防止病情复发。Objective To observe the influence of the cognitive therapy strengthened by multimedia on the compliance of the patients with mania. Methods 60 patients with mania were randomly divided into a cognitive therapy group and a control group. Both groups received anti-manic medication. Additionally, the cognitive therapy strengthened by multimedia was given to the cognitive therapy group. However, the controlgroup only received general health education. Bech-Rafaelsen Mania Rating Scale （ BRMS ） , Insight and Treatment Attitude Questionnaire （ ITAQ ） , and medication compliance questionnaire were used to assess both groups before and 4 weeks, 8 weeks, and 1 year after the intervention. Results The scores of BRMS, ITAQ, and medication compliance questionnaire were better in the cognitive therapy group than in the control group, with statistical differences （P 〈 0.01 or P 〈 0.05 ） . Conculsions The cognitive therapy strengthened by multimedia can iucreace the medication compliance of patients with mania and prevent the patients from recurring.

关 键 词：多媒体 认知治疗 躁狂症 治疗依从性 

分 类 号：R749.4[医药卫生—神经病学与精神病学]