摘要
目的分析探讨自我管理训练对康复期精神分裂症患者服药依从性的影响。方法方便选取该院2017年1月—2018年6月收治的80例精神分裂症康复期的患者,按照数字表法随机分为对照组(40例患者)和治疗组(40例患者),对照组患者仅进行常规的治疗和护理,治疗组患者在对照组基础上进行自我管理,比较两组患者ITAQ评分、BPRS评分、服药依从性以及复发情况。结果治疗组患者随访1年ITAQ评分明显高于对照组,BPRS评分明显低于对照组,治疗组患者服药依从性(完全依从)概率(52.50%)明显高于对照组(27.50%),复发概率(17.50%)明显低于对照组(40.00%),差异有统计学意义(χ~2=5.251,5.217,P<0.05)。入组前两组的SRHMS总分和各子量表评分情况相似,差异无统计学意义(P>0.05);治疗后1年,研究组的SRHMS总分和各子量表评分显著高于治疗前和治疗后的对照组,均差异有统计学意义(χ~2=6.334,6.213,P<0.05)。结论康复期精神分裂症患者进行自我管理有效降低疾病复发概率,提高患者服药依从性,改善患者生活质量,值得临床大力推广使用。
Objective To analyze the effect of self-management training on medication compliance in patients with schizophrenia during rehabilitation. Methods 80 patients with schizophrenia during the rehabilitation period from January2017 to June 2018 were convenient selected randomly divided into the control group(40 patients) and the treatment group(40 patients) according to the digital table method. In the control group, only routine treatment and nursing were performed.The patients in the treatment group were self-administered on the basis of the control group. The ITAQ score, BPRS score,medication adherence and recurrence were compared between the two groups. Results The ITAQ score of the patients in the treatment group was significantly higher than that of the control group. The BPRS score was significantly lower than that of the control group. The probability of medication compliance(complete compliance) was significantly higher in the treatment group(52.50%) than in the control group(27.50%), reoccurance rate(17.50%) was significantly lower than the control group(40.00%), the difference was statistically significant(χ~2=5.251, 5.217,P<0.05). The scores of SRHMS and scores of the two groups before the enrollment were similar, and the difference was not statistically significant(P>0.05). After 1 year of treatment, the scores of SRHMS and subscales of the study group were significantly higher than those of the treatment. The difference between the pre-and post-treatment groups was statistically significant(χ~2=6.334, 6.213,P <0.05). Conclusion Self-management of patients with schizophrenia during rehabilitation can effectively reduce the probability of disease recurrence, improve patient compliance, and improve patients' quality of life. It is worthy of clinical promotion.
引文
[1]张新颜,韩玉华,王捷,等.从性干预护理模式对精神分裂症患者病耻感及自尊的影响研究[J].国际精神病学杂志,2017(44):696-697.
[2]汤惠璇,黄雪宜,陈惠清.药物治疗的自我管理训练在精神分裂症患者康复期中的应用[J].当代护士,2018,25(25):131-132.
[3]吴丽媛刘文广.综合护理干预对精神分裂症患者服药依从性及生活质量的影响研究[J].中国现代医生,2017,55(3):143-145.
[4]张玲.综合健康教育在精神分裂症患者护理中的应用[J].山西医药杂志,2015,44(3):353-354.
[5]曹敬华,张云淑,张丽丽,等.“倍慈模式”自助小组对精神障碍患者社区康复的影响[J].国际精神病学杂志,2016(6):974-977.
[6]康兴芹.综合护理干预对社区精神分裂症患者服药依从性的影响[J].齐鲁护理杂志,2014,20(1):43-44.
[7]高春凤,卢又华,安东尼·塞勒诺.纽约州“健康自我管理项目”促进精神病患者社区康复的经验[J].北京建筑工程学院学报,2016,32(4):77-80.
