不同治疗依从性急性期精神分裂症患者精神病性症状和家属情感表达的调查  

Investigation on the Therapeutic Compliance of Acute Schizophrenic Patients with Psychotic Symptoms and the Emotional Expression of Their Family Members

作　　者：赖华[1] 李水英[1] 毛春燕[1] 张秀英[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5期936-939,共4页West China Medical Journal

基　　金：四川省卫生厅科技计划项目(130016)~~

摘　　要：目的调查不同治疗依从性急性期精神分裂症患者精神病性症状及家属情感表达。方法随机选择2014年6月-9月入院的60例急性期精神分裂症患者,采用简明精神病量表(BPRS)调查患者的精神症状,采用多伦多述情量表(TAS)调查家属的情感表达,采用自制的治疗依从性量表对患者治疗依从性进行1周的调查。结果急性期精神分裂症患者治疗依从性好41例(占68%),差19例(占32%);男性和女性家属TAS量表得分分别为(67.61±10.03)、(69.68±11.46)分,均高于常模(P<0.05);不同依从性的患者在BPRS总分、激活因子、敌对与猜疑因子的得分差异有统计学意义(P<0.05);逐步回归分析显示精神病性症状对依从性有影响(P<0.05)。结论急性期精神分裂症患者家属有明显的情感表达障碍;患者精神病性症状可影响治疗依从性,精神病性症状越重,依从性越差。Objective To explore the influence factors of therapeutic compliance and emotional expression of first-degree relatives in acute schizophrenic patients with psychotic symptoms.Methods The Brief Psychiatric Rating Scale（BPRS） was used to measure the severity of psychotic symptoms in sixty schizophrenic patients from June to September 2014 in West China Hospital and the Toronto Alexithymia Scale（TAS） was used to survey the emotional expression in their family members.The homemade treatment adherence scale was used to survey the treatment adherence in patients for one week.Results There was a poor therapeutic compliance in nineteen patients with acute schizophrenia（32%） and the other 41（68%） had good therapeutic compliance;the relatives of schizophrenic patients had high TAS scores（male：67.61±10.03;female：69.68±11.46） than the normal models did（P〈 0.05）.The differences between the patients with different therapeutic compliance in BPRS total score,reactivator,hostile and suspicion factor（P〈 0.05）.The therapeutic compliance was related to the severity of the psychotic symptoms（P〈 0.05）.Conclusions There is a bad emotional expression in the relatives of acute schizophrenic patients.The psychotic symptoms can influence the therapeutic compliance.The milder the psychotic symptoms,the better the therapeutic dependence.

关 键 词：精神分裂症 依从性 情感表达 多伦多述情量表 简明精神病量表 

分 类 号：R473.74[医药卫生—护理学]