《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (01): 77-78.

• 心理-精神-社会康复 • 上一篇    下一篇

出院精神分裂症患者服药依从性相关因素分析

李春阳; 梁烨; 莫翠英; 黄嘉艺   

  1. 顺德区伍仲珮纪念医院 广东佛山市 528333
  • 收稿日期:2005-10-24 出版日期:2006-01-25 发布日期:2006-01-25

Relative factors of the compliance in schizophrenic out-patients

LI Chun-yang, LIANG Ye, MO Cui-ying, et al   

  1. Shunde Wu Zhongpei Memorial Hospital of Foshan, Foshan 528333,Guangdong, China
  • Received:2005-10-24 Published:2006-01-25 Online:2006-01-25

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摘要： 目的研究出院精神分裂症患者服药依从性的影响因素。方法对118名随机抽取的出院精神分裂症患者进行电话随访,调查其依从性,根据临床疗效总评量表病情严重程度项(CGI-SI)、社会功能缺陷筛查量表(SDSS)、简明精神病评定量表(BPRS)和副作用量表(TESS)进行评定,并进行Logistic回归分析。结果出院精神分裂症患者中依从的比例为56.8%,服药次数、CGI-SI评分及自知力评分是影响出院精神分裂症患者服药依从性的危险因素。结论选用有效且简便的药物控制症状、促进患者自知力的恢复有助于提高出院精神分裂症患者的服药依从性。

关键词: 精神分裂症, 依从性, 回归分析

Abstract: ObjectiveTo explore the relative factors of the compliance in schizophrenic out-patients.Methods118 schizophrenic out-patients chosen randomly were investigate with the compliance and assessed with Clinical Global Impression-Severity of Illness (CGI-SI), Social Disability Screening Schedule (SDSS), Brief Psychiatric Rating Scale (BPRS) and Treatment Emergent Symptom Scale (TESS) by telephone. Logistic regression analysis was used to confirm the relative factors of the compliance.Results56.8% of all patients were of full compliance. The risk factors of compliance in schizophrenic out-patients were the frequency of medicine taken, the scores of CGI-SI and the insight of the illness. ConclusionIt is important to choose effective and convenient antipsychotic drugs and improve the insight of the illness to enhance the compliance of the schizophrenic out-patients.

Key words: schizophrenia, compliance, regression analysis