延续护理对精神分裂症患者服药依从性及康复的影响  

Effect of transitional care on medication adherence and rehabilitation of patients with schizophrenia

作　　者：曹新妹[1] 贾守梅[2] 龚晴[1] 毕翠云[1] 诸海英[1] 

机构地区：[1]上海市精神卫生中心,上海200030 [2]复旦大学护理学院,上海200032

出　　处：《上海护理》2016年第4期28-31,共4页Shanghai Nursing

基　　金：上海市卫生和计划生育委员会科研课题支持项目(201440093);上海市教委护理高原学科建设项目支持

摘　　要：目的探索延续护理对精神分裂症患者服药依从性和康复的影响。方法选择2015年1-6月上海市精神卫生中心即将出院的康复期精神分裂症患者80例,随机分为观察组40例和对照组40例。对照组接受常规出院指导,观察组除接受常规出院指导外,给予6个月的延续护理指导,内容包括精神药物的服用和保管/药物不良反应观察和护理,以及生活能力和社会功能恢复的康复指导。对两组患者在出院时、出院6个月后均采用服药依从性(Morisky)问卷及Momingside康复状态量表(MRSS)进行评估。结果出院后6个月观察组的Morisky问卷评分和MRSS评分与对照组比较差异有统计学意义(P<0.05)。结论延续护理显著提高了精神分裂症患者的服药依从性,提高了患者的总体康复水平,使其社会交往能力和活动能力得到了很大提高。Objective To explore the effect of transitional care on the medication adherence and rehabilitation of patients with schizophrenia. Methods A total of 80 schizophrenic inpatients before discharge from ShanghaiMental Health Center were recruited from January to June, 2015. They were randomly divided into theintervention group and the control group （40 in each group ）. The control group received routine dischargeeducation, and the intervention group received transitional care for 6 months after discharge besides routinedischarge education. Morisky questionnaire and Morningside Rehabilitation Status Scale （MRSS） were used toassess the medication adherence and rehabilitation of patients in both two groups at discharge and {5 months afterdischarge. Results Morisky questionnaire score and MRSS score in the intervention group at 6 months afterdischarge were significantly lower than those in the control group （ P 〈 0.05 ）. There was no significantdifference in Morisky questionnaire score and MRSS score at 6 months after discharge and at discharge in thecontrol group. Conclusion Transitional care could significantly improve the medication adherence, overalllevel of rehabilitation, social communication ability and activity ability of the patients with schizophrenia.

关 键 词：精神分裂症患者 延续护理 服药依从性 康复 

分 类 号：R473.74[医药卫生—护理学]