摘要
目的:研究精神分裂症患者服药依从性及其相关因素。 方法:对388例门诊治疗的精神分裂症患者进行病程,自知力,服药依从性与简明精神病量表(BPRS),社会功能缺陷筛选量表(SDSS)及副反应量表(TESS)的评定与分析。 结果:服药依从者691%;病程>5年者依从性比≤5年者差;自知力障碍越重者依从性越差;BPRS总分其思维障碍、敌对猜疑因子分越高者依从性越差;SDSS及TESS“A”栏(严重度)评分越高者依从性越差。 结论:提示病人自身因素对服药依从性的影响较社会,家庭环境及治疗内容等因素更为重要。
Objective:To study the drug compliance among schizophrenic patients. Method:The clinical symptoms,course of illness,insight,drug compliance were assessed in 388 schizophrenic outpatients.The Brief Psychiatric Rating Scale (BPRS),Social Disability Screening Schedule (SDSS) and Treatment Emergent Symptoms Scale (TESS) were also administered. Results:69 1% of patients were found to have satisfactory drug compliance.Those with more than five year history of illness had better compliance than those with less. Those with impaired insight,thought disorder,high scores in BPRS,SDSS and TESS part A,had poor drug compliance. Conclusion:Intrinsic factors like course of illness,insight,thought process in schizophrenic patients are important determinants of drug compliance.
出处
《临床精神医学杂志》
2000年第1期7-9,共3页
Journal of Clinical Psychiatry
