绵阳市居家在管精神分裂症患者药物治疗现状调查  

Analysis on the medication status of schizophrenia patients at home in Mianyang

作　　者：文红[1] 杨先梅[1] 王维[1] 田绍丽 王丹[1] Wen Hong;Yang Xianmei;Wang Wei;Tian Shaoli;Wang Dan(Sichuan Mental Health Center·The Third Hospital of Mianyang,Mianyang 621000,China)

机构地区：[1]四川省精神卫生中心·绵阳市第三人民医院,四川绵阳621000

出　　处：《四川精神卫生》2020年第6期542-545,共4页Sichuan Mental Health

摘　　要：目的掌握绵阳市居家在管精神分裂症患者药物治疗现况,寻找提高居家在管精神分裂症患者管理治疗质量的有效方法。方法于2018年4月由经统一培训的调查员对绵阳市居家在管精神分裂症患者10452例及其监护人进行问卷及访谈调查。采用自编绵阳市居家严重精神障碍患者服药情况调查表调查患者的一般情况、近1个月抗精神病药物使用情况及抗精神病药物使用的影响因素。结果共9831例精神分裂症患者完成调查,其中7175例(72.98%)为规律服药,1238例(12.59%)为间断服药,1418例(14.43%)为未服药;间断服药及未服药的最主要原因是“患者本人拒绝服药”,共1791人次(67.43%);不同服药状况的患者在有无精神病性症状、家庭经济情况上差异均有统计学意义(P<0.05或0.01);监护人对服药的态度(F=565.770,P<0.01)、患者服药频次(F=308.299,P<0.01)是患者服药态度主要的影响因素。结论居家在管精神分裂症患者服药依从性受多方面因素的影响,其中其监护人对抗精神病药物的服用态度及患者用药频次是主要的影响因素。Objective To collect the medication status of schizophrenia patients at home in Mianyang,so as to explore effective ways to improve the management and treatment for patients.Methods In April 2018,A total of 10452 schizophrenia patients and their guardians in Mianyang were investigated by a self-designed questionnaire on medication status of patients with severe mental disorders at home in Mianyang by uniformly trained investigators.The contents of the questionnaire included the general situation of the patients,the use of antipsychotic drugs in the past month and the related factors affecting the use of antipsychotic drugs.Results Among 9831 schizophrenia patients,there were 7175(72.98%)patients regularly taking medicine,1238(12.59%)patients intermittently taking medicine,and 1418(14.43%)patients not taking medicine.The main reason for intermittent medication and non-medication was"the patient refused to take medicine",accounting for 1791 cases(67.43%).There were significant differences in psychotic symptoms and family economic conditions among different medication conditions(P<0.05 or 0.01).The major factors that affect the patients’attitude towards taking medicine are guardians'attitude towards medication(F=565.770,P<0.01)and medication frequency(F=308.299,P<0.01).Conclusion The drug compliance of schizophrenia patients at home is affected by many factors,and the attitude of their guardians and the frequency of antipsychotic drugs were important factors.

关 键 词：精神分裂症 社区管理 抗精神病药物 服药依从性 

分 类 号：R749.3[医药卫生—神经病学与精神病学]