《精神分裂症患者抗精神病药物服药依从性管理指南》的改编及评价  

Adaptation and evaluation of Guideline for Management of Antipsychotic Medication Adherence in Schizophrenics

作　　者：金晓超 周英凤[2] 施忠英[3] 顾艳虹[1] Jin Xiaochao;Zhou Yingfeng;Shi Zhongying;Gu Yanhong(Department of General Psychiatry,Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China;School of Nursing,Fudan University,Shanghai 200032,China;Nursing Department,Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China)

机构地区：[1]上海交通大学医学院附属精神卫生中心普通精神科,上海200030 [2]复旦大学护理学院,上海200032 [3]上海交通大学医学院附属精神卫生中心护理部,上海200030

出　　处：《中华现代护理杂志》2023年第23期3116-3124,共9页Chinese Journal of Modern Nursing

基　　金：上海市精神卫生中心2021年度护理学科人才培养计划(2021HLRC-Q02);上海市卫生健康委员会科研项目(202150047);2022年上海市医院协会医院管理研究基金青年课题(Q2022014)。

摘　　要：目的改编构建适合我国国情的《精神分裂症患者抗精神病药物服药依从性管理指南》。方法以ADAPTE指南改编方法为指导,结合我国精神分裂症患者抗精神病药物服药依从性现况,系统检索现有的抗精神病药物服药依从性管理相关指南及系统评价,评价、遴选、整合最佳证据;对改编指南进行可应用性调研、专家论证与外部评审,形成最终版指南。结果共纳入指南9篇、系统评价14篇。改编形成的指南共包含30条证据,分为政策与决策支持、服药依从性评估、服药依从性管理计划、服药依从性管理措施4个主题,指南的可应用性与专家评审一致性均较好。结论本研究改编形成的《精神分裂症患者抗精神病药物服药依从性管理指南》可为临床护理实践提供证据支持。Objective To adapt and build Guideline for Management of Antipsychotic Medication Adherence in Schizophrenics which is suitable for China's national conditions.Methods Guided by the ADAPTE guideline adaptation method,and combined with the current status of antipsychotic medication adherence of schizophrenics in China,we systematically searched the existing antipsychotic medication adherence management guidelines and systematic evaluation,and evaluated,selected,and integrated the best evidence.We conducted usability research on the adapted guidelines,conducted discussions among experts and external evaluations to form the final version of the guideline.Results A total of 9 guidelines and 14 systematic evaluations were included.The adapted guideline contained 30 pieces of evidence,including 4 themes of policy and decision support,medication adherence assessment,medication adherence management plan,and medication adherence management measures.Conclusions The adapted guideline for nursing management of antipsychotic medication adherence in schizophrenics can provide evidence support for clinical nursing practice.

关 键 词：精神分裂症 服药依从性 抗精神病药物 指南 

分 类 号：R473.74[医药卫生—护理学]