服药依从性及家庭功能对精神分裂症恢复期患者精神残疾状况影响的简单效应分析  

Two-way ANOVA on the influence of the medication adherence and family function on the schizophrenia mental disability patients

作　　者：孙玉静[1] 王丽娜[2] 周郁秋[1] 宇虹[1] 

机构地区：[1]哈尔滨医科大学大庆校区护理学院,163319 [2]赤峰学院医学院护理系

出　　处：《中国实用护理杂志》2014年第31期10-14,共5页Chinese Journal of Practical Nursing

基　　金：国家自然科学基金项目（71173065）;内蒙古自治区高等学校科学研究项目（NJZY13309）

摘　　要：目的 探讨服药依从性、家庭功能对精神分裂症恢复期患者精神残疾状况的影响.方法 选取精神分裂症恢复期精神残疾患者120例,应用服药简易评估量表（MAQ）、家庭关怀度指数量表（APGAR）、世界卫生组织残疾评定量表（WHO-DASⅡ）来评估患者的服药依从性、家庭功能及精神残疾状况,并分析服药依从性及家庭功能对精神残疾状况的影响.结果 精神分裂症恢复期患者的精神残疾程度为（73.77±15.73）分;服药依从性为（2.40±1.10）分及家庭功能为（4.87±2.42）分;对其患者精神残疾影响的主效应显著;经简单效应分析,不同家庭功能条件下,服药依从性不同,患者精神残疾得分比较差异有统计学意义;在中等服药依从性条件下,家庭功能程度不同,患者的精神残疾得分比较差异有统计学意义.结论 服药依从性及家庭功能的交互作用共同影响精神分裂症恢复期患者的精神残疾状况,应以两者交互关系为护理干预依据,进而有效延缓或改善患者的精神残疾状况.Objective To explore the influence of the medication adherence and family function on mental disability status of the schizophrenia patients.Methods Morisky Medication Adherence Questionnaire（MAQ）,Assessment Schedule Ⅱ （WHO-DAS Ⅱ）,Family APGAR Index（APGAR） were used to analyze the influence of the medication adherence and family function on the schizophrenia mental disability patients.120 convalescence mental disability patients were included in Inner Mongolia Anding hospital.Results The mean score of medication adherence and family function of the schizophrenia mental disability patients was （2.40±1.10） points and （4.87±2.42） points,they both played a significant role on the effect of mental disability.The main effect of medication adherence and family function were significantly different.Through the simple effect analysis,the mental disability score was different in the various medication adherence level under the various family function situation,and the mental disability score was also different in the various family function situation under the medication adherence level.Conclusions Both medication adherence and family function have effect on mental disability status of the schizophrenia patients.The medical staff should take targeted measures to delay or improve patients＆#39; mental disability status.

关 键 词：精神分裂症 服药依从性 家庭功能 精神残疾 

分 类 号：R749.3[医药卫生—神经病学与精神病学]