团体药物管理训练对康复期精神分裂症患者家庭负担改善的效果  

Effect of Drug Management Skill Training on Lightening the Family Burden of Schizophrenic Patients in the Recovery Period

作　　者：左小凤[1] 吴霜[1] 刘怡[1] 李水英[1] 周茜[1] 赖华[1] 张倬秋[1] 

机构地区：[1]四川大学华西医院心理卫生中心,成都610041

出　　处：《华西医学》2016年第1期135-138,共4页West China Medical Journal

基　　金：四川省卫生厅科研课题(130016)~~

摘　　要：目的了解系统的团体药物管理训练对康复期精神分裂症患者家庭负担的影响。方法 2011年12月-2013年12月将101例康复期精神分裂症患者随机分为干预组(56例)和对照组是(45例),干预组进行药物管理训练,对照组只进行简单随访,为期6个月。采用阴性症状和阳性症状量表(PANSS)评估患者的精神症状,采用精神病患者家庭负担会谈量表(FBS)评定精神病患者给家庭带来的负担。结果干预组较对照组在PANSS阳性症状(t=2.692,P=0.008)、阴性症状(t=2.729,P=0.008)、一般病理(t=3.231,P=0.002)和整体精神病性症状(t=3.870,P<0.001)的改善方面都优于对照组,且患者精神病性症状的改善程度与FBS家庭负担改善程度呈正相关(r=0.44,P<0.001)。结论系统的药物管理训练能提高患者的治疗依从性,改善治疗效果从而减轻患者和家庭的负担。Objective To explore the effects of drug management skill training on lightening the family burden of schizophrenic patients in their recovery period.Methods Between December 2011 and December 2013,101 patients with schizophrenia were randomly divided into experimental group（n= 56） and control group（n= 45）.The experimental group was given drug management skill training,while the control group only received routine follow-up.The course of the research was six months.Both groups were assessed by the positive and negative syndrome scale on patients＇ psychological symptoms,and family burden scale of diseases was used to assess the burden of the family.Results Compared with the controls,patients in the experimental group improved more in their positive symptoms（t= 2.692,P= 0.008）,negative symptoms（t= 2.729,P= 0.008）,general psychopathology symptoms（t= 3.231,P= 0.002） and the whole psychiatric symptoms（t= 3.870,P〈 0.001）.Moreover,the degree of patients＇ symptom improvement was positively correlated with the degree of family burden lightening（r= 0.44,P〈 0.001）.Conclusion For patients with schizophrenia,reasonable drug management skill training can effectively improve patients＇ medication compliance,promote treatment effect and lighten family burden.

关 键 词：精神分裂症 团体药物管理训练 阴性症状和阳性症状量表 精神病患者家庭负担会谈量表 

分 类 号：R473.74[医药卫生—护理学]