儿少精神科住院患者用药依从性的现状调查及其影响因素分析  

Investigation and related influencing factors of drug compliance of inpatients in child and adolescent psychiatry department

作　　者：周婧琪 尚翔[1] 刘威[1] 孙晓鸣 张方明 Zhou Jingqi;Shang Xiang;Liu Wei;Sun Xiaoming;Zhang Fangming(Department of Pharmacy,Suzhou Guangji Hospital,Suzhou 215137,China)

机构地区：[1]苏州市广济医院药学部,江苏苏州215137

出　　处：《实用药物与临床》2023年第5期433-438,共6页Practical Pharmacy and Clinical Remedies

基　　金：苏州市科技发展计划(SKSD2020195);苏州市科技发展计划(SKJYD2021129);苏州市卫生青年人才“全国导师制”培训项目(Qngg2022029)。

摘　　要：目的探讨儿少精神科住院患者用药依从性情况及其相关影响因素。方法选择2020年1月至2022年6月在苏州市广济医院住院治疗的150例儿少精神障碍患者为研究对象,收集其社会人口学资料、临床资料等,对其用药依从性现状进行调查,并对其相关影响因素进行分析。结果40例患儿用药依从性差,占比达26.67%;抑郁发作、有精神病性症状、有抵触思想、非父母为主要抚养人、父亲文化程度大专以下、母亲文化程度大专以下、有药物相关不良反应史、用药最大频率3次/d是儿少住院患者用药依从性低的独立危险因素。结论针对具有用药依从性差相关独立危险因素的患儿,应加强用药教育,实行个体化用药监护方案,提高用药依从性。Objective To explore the drug compliance of inpatients in child and adolescent psychiatry department and its related influencing factors.Methods A total of 150 inpatients with mental disorders who were hospitalized in Suzhou Guangji Hospital from January 2020 to June 2022 were selected as the research subjects.Their sociodemographic data and clinical data were collected to investigate their drug compliance status and analyze the related influencing factors.Results A total of 40 inpatients had poor drug compliance,accounting for 26.67%.The independent risk factors of low drug compliance were depressive episode,psychotic symptoms,resistant thoughts,non-parents as the main caregivers,father′s education level below junior college,mother′s education level below junior college,history of drug-related adverse reactions,and the maximum frequency of drug use(tid).Conclusion For patients with independent risk factors related to low drug compliance,medication education should be strengthened,and individualized medication monitoring programs should be implemented to improve medication compliance.

关 键 词：儿少患者 精神障碍 用药依从性 影响因素 

分 类 号：R749[医药卫生—神经病学与精神病学]