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服药依从性良好的社区精神分裂症患者相关特点分析
Analysis of Correlative Characteristics of Community Schizophrenic Patients with Good Medication Compliance
  
DOI:
中文关键词:  服药依从性  精神分裂症  影响因素  社区
英文关键词:Compliance  Schizophrenia  Influencing factor  Community
基金项目:上海市普陀区科委自主创新科研经费资助项目(编号:普KW12312);上海市残疾人康复科研项目(编号:K2014008)
作者单位
孙莉1 谢红涛1 陈俊 2 王祖承2 1.上海市普陀区精神卫生中心 上海2000652.上海交通大学医学院附属精神卫生中心 
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中文摘要:
      摘 要 目的:调查分析社区精神分裂症患者自身状况、家庭因素、社会因素对服药依从性的影响,从而对服药依从性良好的社区精神分裂症患者相关特点进行分析。方法:对2016年6~12月社区诊断精神分裂症的570例患者开展调查,采用Morisky量表(MAQ)调查患者服药依从性,设计问卷收集并分析患者人口学资料,用药态度量表(DAI)、阳性和阴性症状量表(PANSS)等评分作为观察指标,通过对患者自身、家庭、社会相关因素分析,了解患者服药依从性的影响因素。结果:服药依从性差者302例(53.0%),依从性良好者268例(47.0%),Logistic回归分析显示DAI评分、PANSS评分、是否伴发躯体疾病、发病情况、医患关系是患者服药依从性的主要影响因素(P<0.05)。结论:和谐的家庭成员关系与融合的医患关系组成社会支持系统,积极评价关注患者的主观感受和治疗体验,能提高患者服药依从性,促进社会功能恢复,具有现实指导意义。
英文摘要:
      ABSTRACT Objective:To investigate the influence of the status, family factors and social factors on the compliance of patients with schizophrenia in community, and analyze the characteristics of community schizophrenic patients with good drug compliance. Methods:From June 2016 to December, 570 patients with schizophrenia diagnosed in the community, using Morisky Scale (MAQ) to investigate the compliance of patients with medication, design questionnaires to collect and analyze demographic data, medication attitude scale (DAI), positive and negative symptom scale (PANSS) as the observation index, through the analysis of the factors related to patients’ self, family and society, to understand the influencing factors of patients’ compliance with medication. Results:The drug was not treated from 302 cases (53.0%), according to 268 cases (47.0%), logistic regression analysis showed that the main factors influencing the compliance of the patients were the number of DAI, PANSS, the incidence of somatic diseases, morbidity and physician patient relationship (P<0.05). Conclusion:The harmonious family member relations and the Good Medical Alliance form the social support system, positively appraises the patient’s subjective feeling and the treatment experience, may raise the patient to take medication the compliance, promotes the social function recovery, has the realistic instruction significance.
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