定期诊疗与严重精神障碍患者服药依从的相关性分析  

A Correlation Study between Regular Clinic Visits and Medication Adherence in Patients with Severe Mental Disorders

作　　者：钟方前 ZHONG Fang-qian(Chishui City Center for Disease Control and Prevention,Chishui,Guizhou 564700,China)

机构地区：[1]赤水市疾病预防控制中心,贵州赤水564700

出　　处：《黔南民族医专学报》2025年第1期64-67,共4页Journal of Qiannan Medical College for Nationalities

摘　　要：目的:了解赤水市严重精神障碍患者不服药原因,探讨定期诊疗对严重精神障碍患者服药依从相关性,为维护社会稳定提供政策保障。方法:采取面对面问卷调查方式,调查95名严重精神障碍患者不服药原因;采取病例对照研究,将对象随机分为研究组53名和对照组42名,采用不同的诊疗服务,研究定期诊疗与严重精神障碍患者服药依从的相关性。结果:赤水市病程较长(5年以上)的严重精神障碍患者不服药的原因主要是患者及家属觉得病情稳定,不需要服药;病程短(5年以下)的患者不服药主要原因是服药后身体不适,各组间比较差异有统计学意义(P<0.01)。且定期诊疗能明显改善严重精神障碍患者服药依从性,差异有统计学意义(P<0.01)。结论:定期诊疗能明显改善严重精神障碍患者服药依从性,为进一步探讨精神卫生医防融合新模式,维持患者病情稳定,促进患者回归社会,维护社会稳定提供技术保障。Objective:To explore the reasons for non-adherence to medication among patients with severe mental disorders in Chishui City and to investigate the correlation between regular medical consultations and medication adherence among these patients,providing policy support for maintaining social stability.Methods:A face-to-face questionnaire survey was conducted to investigate the reasons for non-adherence to medication among 95 patients with severe mental disorders.A case-control study was then implemented,with the participants randomly divided into a study group of 53 patients and a control group of 42 patients.Different diagnostic and treatment services were provided to the two groups to study the correlation between regular consultations and medication adherence among patients with severe mental disorders.Results:Among patients with a longer duration of illness(over 5 years)in Chishui City,the primary reason for non-adherence to medication was the perception by patients and their families that the condition was stable and medication was unnecessary.For patients with a shorter duration of illness(less than 5 years),the main reason for non-adherence was discomfort after taking medication,with statistically significant differences observed between the groups(P<0.01).Furthermore,regular medical consultations significantly improved medication adherence among patients with severe mental disorders,with a statistically significant difference(P<0.01).Conclusion:Regular medical consultations can significantly improve medication adherence among patients with severe mental disorders,providing technical support for further exploring new models of integrated mental health care and prevention,maintaining patient stability,facilitating patient reintegration into society,and safeguarding social stability.

关 键 词：服药依从性 严重精神障碍 定期诊疗 相关性 

分 类 号：R749.3[医药卫生—神经病学与精神病学]