社区督导对重性精神障碍患者服药依从性和疗效的影响
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摘要
目的探讨社区督导对重性精神障碍患者服药依从性和疗效的影响。方法调取2016年1月—2017年8月居住在统一小区的175例重性精神障碍患者资料,分为四个等级管理,并且每周随访对患者家属进行督导,对比观察前、观察后重性精神障碍患者的肇事情况、依从性以及人际交往和再住院情况。结果在接受社区医生管理后,患者管理分级发生明显变化,好转情况增多,差异具有统计学意义(P<0.05)。重性精神障碍患者在接受社区医生管理后,肇事情况明显减少,差异具有统计学意义(P<0.05)。在接受社区医生管理后,患者的依从性、再住院情况以及人际交往情况明显好转,差异具有统计学意义(P<0.05)。结论对重性精神障碍患者实施社区督导,能够有效提高患者服药依从性,提升各项管理能力,临床效果较为显著,因此可以大力推广实践。
Objective To explore the effect of community supervision on medication compliance and efficacy of patients with severe mental disorders. Methods 175 patients with severe mental disorders who lived in the same community from January 2016 to August 2017 were collected and divided into four levels of management. The patients' family members were supervised every week, and the accident situation, compliance, interpersonal communication and rehospitalization of patients with pre and post observation heavy mental disorders were compared. Results After accepting the management of community doctors, the patient management grading changed significantly, and the improvement situation increased, the difference was statistically significant(P < 0.05). After accepting the management of community doctors, the incidence of serious mental disorder patients was significantly reduced(P < 0.05). After the administration of community doctors, the compliance, rehospitalization and interpersonal communication were obviously improved, and the difference was statistically significant(P < 0.05). Conclusion The implementation of community supervision for patients with severe mental disorders can effectively improve the compliance of the patients, improve the management ability, and the clinical effect is more significant. Therefore, we can vigorously promote the practice.
Objective To explore the effect of community supervision on medication compliance and efficacy of patients with severe mental disorders. Methods 175 patients with severe mental disorders who lived in the same community from January 2016 to August 2017 were collected and divided into four levels of management. The patients' family members were supervised every week, and the accident situation, compliance, interpersonal communication and rehospitalization of patients with pre and post observation heavy mental disorders were compared. Results After accepting the management of community doctors, the patient management grading changed significantly, and the improvement situation increased, the difference was statistically significant(P < 0.05). After accepting the management of community doctors, the incidence of serious mental disorder patients was significantly reduced(P < 0.05). After the administration of community doctors, the compliance, rehospitalization and interpersonal communication were obviously improved, and the difference was statistically significant(P < 0.05). Conclusion The implementation of community supervision for patients with severe mental disorders can effectively improve the compliance of the patients, improve the management ability, and the clinical effect is more significant. Therefore, we can vigorously promote the practice.
引文
[1]向琴.综合护理干预对精神障碍患者服药依从性的影响研究[J].临床医药实践,2015,24(1):63-64.
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[5]瞿胜,程丽娟,王昉,等.棕榈酸帕利哌酮注射液治疗新型毒品所致精神障碍30例[J].医药导报,2016,35(S1):25-26.
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[9]刘向东,徐广明.精神障碍患者服药依从性的研究方法——读者来信[J].临床精神医学杂志,2015,25(5):358-360.
[10]唐柳岚.精神障碍患者服药不依从行为分析与护理策略[J].吉林医学,2015,36(15):3404-3405.
[11]杨杨,胡昌清,王刚.精神科门诊服药依从性现状调查[J].中国医学创新,2015,12(20):56-58.
[12]周红,周青,钱斌,等.奉贤区在管严重精神障碍患者现况分析[J].上海医药,2018,39(2):10-13.
[2]赵小明,吴光怀.医患共同决策诊疗模式对社区精神障碍患者服药依从性及临床疗效的影响[J].中国医学工程,2017,25(12):16-18.
[3]王西建,焦宁波,亢晓燕,等.社区医生督导对重性精神障碍患者服药依从性和疗效的影响[J].国际精神病学杂志,2017,44(3):450-453.
[4]王维,唐岩,熊昆武,等.严重精神障碍管理对精神分裂症患者的影响[J].临床医学,2017,37(3):30-32.
[5]瞿胜,程丽娟,王昉,等.棕榈酸帕利哌酮注射液治疗新型毒品所致精神障碍30例[J].医药导报,2016,35(S1):25-26.
[6]王贤初,陈燕,周霖.社区健康服务中心在精神障碍疾患管理中的作用[J].现代诊断与治疗,2016,27(14):2637-2639.
[7]梁敏,徐文耀,梁超胜.护理延伸服务对精神活性物质所致精神障碍患者的效果评价[J].白求恩医学杂志,2016,14(3):393-394.
[8]徐冬梅,田常青.出院精神障碍患者服药依从性及复发率调查研究[J].内蒙古医学杂志,2015,47(11):1307-1310.
[9]刘向东,徐广明.精神障碍患者服药依从性的研究方法——读者来信[J].临床精神医学杂志,2015,25(5):358-360.
[10]唐柳岚.精神障碍患者服药不依从行为分析与护理策略[J].吉林医学,2015,36(15):3404-3405.
[11]杨杨,胡昌清,王刚.精神科门诊服药依从性现状调查[J].中国医学创新,2015,12(20):56-58.
[12]周红,周青,钱斌,等.奉贤区在管严重精神障碍患者现况分析[J].上海医药,2018,39(2):10-13.