系统化健康教育对早发性精神分裂症患者治疗依从性的影响  

Influences of systematized health education on treatment com-pliance of early onset schizophrenic

作　　者：何玉华[1] 张文秀[1] 唐静[1] 

机构地区：[1]自贡市精神卫生中心,四川自贡643020

出　　处：《临床心身疾病杂志》2016年第6期82-84,共3页Journal of Clinical Psychosomatic Diseases

摘　　要：目的：探讨系统化健康教育对早发性精神分裂症患者治疗依从性的影响。方法将80例早发性精神分裂症患者按随机数字表法分为两组，每组40例，均接受常规治疗及护理干预，观察组在此基础上予以系统化健康教育，观察1个月，随访1a。干预前后采用住院精神病人康复疗效评定量表评定康复效果，统计随访期间服药依从性及复发情况。结果干预后两组住院精神病人康复疗效评定量表总分及各因子均较干预前显著升高（ P＜0．05或0．01），观察组显著高于对照组（ P＜0．05或0．01）。出院后随访1个月、1 a观察组服药完全依从率显著高于对照组（P＜0．01），随访1 a内复发率显著低于对照组（P＜0．05）。结论系统化健康教育能显著提高精神分裂症患者的治疗依从性，是促进患者临床康复，预防病情复发的有效措施之一。Objective To explore the influences of systematized health education （SHE） on treatment compliance of early onset schizophrenic .Methods Eighty early onset schizophrenics were assigned to two groups of 40 ones each according to random number table ,both groups received routine treatment and nursing intervention ,on this basis observation group was plus SHE ,observed for 1 month ,and followed up for 1 year .Rehabilitation outcomes were assessed with the Inpatient Psychiatric Rehabilitation Outcome Scale （IPROS） before and after intervention ,treatment compliance and relapse status added up during fol‐low‐up .Results After intervention the total and each factor scores of the IPROS of both groups height‐ened more significantly compared with pre‐intervention （P〈 0 .05 or 0 .01） and those were significantly higher in observation than control group （ P〈0 .05 or 0 .01） .Complete compliance rates during 1‐month and 1‐year follow‐up were significantly higher （P〈0 .01） and relapse rate was lower during 1‐year follow‐up （P〈0 .05） in observation than control group .Conclusion The SHE could boost the treatment compli‐ance of schizophrenic notably and is one of effective measures promoting clinical rehabilitation and preven‐ting relapse .

关 键 词：早发性精神分裂症 系统化健康教育 治疗态度 服药依从性 复发率 临床康复 

分 类 号：R749.3[医药卫生—神经病学与精神病学]