依从性干预对精神分裂症患者及其家庭照顾者的影响  

Effect of compliance intervention on schizophrenia patients and their family caregivers

作　　者：闵海瑛[1] 王玲[1] 孔燕 王灿[1] 朱晓春 Min Haiying;Wang Ling;Kong Yan;Wang Can;Zhu Xiaochun(Nursing Department,Shanghai Pudong New Area Mental Health Center,Shanghai 200124,China)

机构地区：[1]上海市浦东新区精神卫生中心护理部,200124

出　　处：《国际护理学杂志》2020年第4期610-614,共5页international journal of nursing

基　　金：上海市浦东新区科技发展基金民生科研专项资金医疗卫生项目(PKJ2018-Y28)。

摘　　要：目的探讨依从性干预对精神分裂症患者及其家庭照顾者的影响。方法将2017年1~12月上海市浦东新区精神卫生中心护理部实施依从性干预后收治的精神分裂症患者60例及其照料者纳入观察组,将2016年1~12月该院实施依从性干预前收治的精神分裂症患者60例及其照料者纳入对照组。对照组患者接受常规健康宣教,观察组患者接受依从性干预。比较两组患者入院时、出院时及出院后3个月治疗依从性评分、自知力与治疗态度问卷(ITAQ)评分、阳性与阴性症状量表(PANSS)、世界卫生组织残疾评定项目(WHO DASⅡ)评分、生活质量综合评定问卷(GQOLI-74)评分以及家庭照顾者负担量表(ZBI)评分。结果观察组患者出院时ITAQ评分显著高于对照组,出院后3个月治疗依从性评分和ITAQ评分均显著高于对照组;观察组患者出院后3个月PANSS评分显著低于对照组,差异均有统计学意义(均P<0.05);两组患者不同时间WHO DASⅡ评分比较,差异均无统计学意义(均P>0.05);观察组患者出院后3个月GQOLI-74评分显著高于对照组,差异有统计学意义(P<0.05);观察组家庭照顾者出院后3个月ZBI评分显著低于对照组,差异有统计学意义(P<0.05)。结论依从性干预能够有效提升精神分裂症患者的治疗依从性,改善其自知力与治疗态度,提升预后效果,减轻家庭照顾者的负担。Objective To explore the effect of compliance intervention on schizophrenia patients and their family caregivers.Methods A total of 60 schizophrenia patients and their caregivers admitted to the hospital after compliance intervention from January to December 2017 were included in the observation group,and 60 schizophrenia patients admitted to the hospital before compliance intervention from January to December 2016 and their caregivers were included in the control group.The control group received routine health education and the observation group received compliance intervention.Compare the two groups of patients on admission,discharge and treatment adherence score 3 months after hospital discharge,self-knowledge and treatment attitude questionnaire(ITAQ)score,positive and negative symptoms scale(PANSS),the world health organization(WHO)disability assessment project(WHO DASⅡ)score and life quality comprehensive evaluation questionnaire(GQOLI-74)score and family caregivers burden scale(ZBI)score.Results The ITAQ score of the observation group was significantly higher than that of the control group at discharge,and the ITAQ score and compliance score of the observation group were significantly higher than that of the control group at 3 months after discharge.PANSS scores in the observation group at 3 months after discharge were significantly lower than those in the control group,with statistically significant differences(P<0.05).Two groups of patients with different time WHO DASⅡscore comparison,there were no statistically significant difference(P>0.05).The GQOLI-74 score of the observation group was significantly higher than that of the control group 3 months after discharge,and the difference was statistically significant(P<0.05).The ZBI score of the family caregivers in the observation group was significantly lower than that of the control group at 3 months after discharge,and the difference was statistically significant(P<0.05).Conclusions Compliance intervention can effectively improve the treatment compli

关 键 词：精神分裂症 依从性干预 家庭照顾者负担 

分 类 号：R473[医药卫生—护理学]