桂西北地区精神分裂症患者服药依从性的调查及干预分析  

Analysis of research and intervention on medicine compliance of patients with schizophrenia in Northwest Guangxi

作　　者：张丽琴[1] 韦月琴 班瑞益 韦卿[1] 袁艺[1] 吴彩芸[1] 

机构地区：[1]广西百色市第二人民医院,百色533000

出　　处：《右江医学》2014年第6期644-647,共4页Chinese Youjiang Medical Journal

基　　金：广西百色市科学研究与技术开发计划项目(编号:百科计20120134)

摘　　要：目的探讨桂西北地区精神分裂症患者服药依从性及干预效果。方法将100例精神分裂症患者随机分为研究组和对照组各50例,对照组给予常规护理,研究组在常规护理的基础上给予温暖工程干预。两组患者入组时和干预1年后分别采用自制的服药依从性调查问卷表、社会功能缺陷筛选量表(SDSS)对患者进行测评,观察两组患者的服药依从性和社会功能状况。记录两组患者出院6个月、12个月疾病复发情况。结果干预前两组患者的服药依从性和SDSS评分比较差异均无统计学意义(P>0.05),干预1年后研究组的服药依从性评分较干预前显著提高(P<0.01),SDSS评分显著下降(P<0.01),对照组的服药依从性评分与干预前比较差异无统计学意义(P>0.05),SDSS评分显著下降(P<0.01),干预1年后研究组的服药依从性和SDSS评分改善程度均高于对照组,差异有统计学意义(P<0.01)。研究组患者出院6个月、12个月疾病复发率均显著低于对照组,差异有统计学意义(P<0.01)。结论对精神分裂症患者进行服药依从性调查分析后给予温暖支持工程干预,能有效提高患者的服药依从性,减少疾病复发,促进患者社会功能的恢复。Objective To investigate the medicine compliance and intervention effect of patients with schizophrenia in Northwest Guangxi. Methods 100 cases of patients with schizophrenia were randomly divided into control group and research group with 50 cases in each group. The control group were given conventional nursing,based on which the research group were added with warmth project intervention. Self-made medication compliance questionnaire and social disability screening schedule（ SDSS） were used to test patients when they were selected into the groups and after one year of intervention. Then,medicine compliance and social function of both groups were observed. And relapse of schizophrenia of two groups in 6 months and 12 months after discharge were recorded. Results The medication compliance score and SDSS score of two groups before intervention were not significantly different（ P〉0. 05）. After one year of intervention,compared with that before intervention,the medication compliance score of the research group significantly increased（ P〈0. 01）,but the SDSS score significantly decreased（ P〈0. 01）. The medication compliance score of the control group was not significantly different from that before intervention（ P〉0. 05）,but the SDSS score significantly decreased（ P〈0. 01）. Both medication compliance score and SDSS score of the research group were significantly higher than those of the control group after one year of intervention,so the difference was statistically significant（ P〈0. 01）. Recurrence rates of the research group in both 6 months and 12 months after discharge were significantly lower than those of the control group,so the difference was statistically significant（ P〈0. 01）. Conclusion To apply the intervention of warmth support project among patients with schizophrenia after investigating and analyzing medicine compliance can effectively improve patients＇ medication compliance,reduce disease relapse,and promote the recovery of social function of the patients.

关 键 词：精神分裂症 服药依从性 社会功能 温暖支持工程 护理干预 

分 类 号：R473.74[医药卫生—护理学]