摘要
目的:探讨重要人物参与药物处置程式训练后对精神分裂症患者康复的影响。方法:将112例精神分裂症患者随机分为观察组和对照组各56例。观察组每例患者选择1名重要人物从入组起每周通知其来院,对患者及重要人物进行为期8周药物处置程式训练,在出院后半年、1年内对观察组患者和重要人物实施随访干预。对照组患者入组期间同观察组每周进行常规药物知识教育,重要人物在探视、出院时由主管护士进行上述知识宣教,不进行随访教育。采用简明精神病评定量表BPRS、社会功能缺陷筛选表SDSS、自制治疗依从性调查问卷。分别于入组时、训练第8周末、随访第12个月末进行测评。评价两组患者疗效、治疗依从性及复发率。结果:入组时,两组患者服药依从性、BPRS和SDSS评分比较,差异均无统计学意义(P>0.05);药物处置程式训练后第8周和随访第12个月末观察组患者治疗依从性高于对照组,BPRS、SDSS评分均低于对照组,差异均有统计学意义(P<0.05)。随访第12个月后,观察组患者复发8例,复发率14.81%;而对照组复发20例,复发率39.21%。两组比较差异有统计学意义(P<0.05)。结论:对于重要人物参与药物处置程式训练可以使家属认识疾病,调动家庭的支持作用,指导患者康复,从而稳定精神分裂症患者病情,提高其服药的依从性,从而减低复发率,改善患者生活质量。
Objective：To explore the effect of important people involved in drug treatment methods programs for schizophrenia patients after training. Methods： Will 112 cases of schizophrenia patients were randomly divided into research group and control group,56 patients in each group. Team every patients choose 1 name from the inception of important figure within weekly inform its to court, Both patients and important people for a 8 weeks drug disposition program training, At 6 months, 1 year,the patients and important characters of implementation team follow -up intervention. The control group patients with a week during the group team routine medicine knowledge education. Important people in cells, the hospital nurse above by knowledge education, no follow - up education. Using the brief psychiatric rating scale BPRS, Social function defect screening SDSS, watch, Homemade treatment adherence questionnaire. The group, respectively, in the first eight weekends, and training for the first 12 months follow - up evaluation. Two groups of patients curative effect, evaluation of treatment adherence and the recurrence rate. Results ： Into the group, two groups of patients medication adherence, BPRS and comparison. SDSS score, there were no statistically significant difference （ P 〉 0.05 ）. Drug treatment programs for the first eight weeks ＇after training with the first team 12 months follow-up treatment adherence for patients with higher than those in the control group BPRS, scores are lower than those of the control group SDSS, Differences are statistically significant （ P 〈 0.05 ）. After the first 12 months of follow - up. There were 8 patients relapse in researoh group, the recurrence rate was 14.7%. And 20 cases of control group recurrence ,the recurrence rate was 39.2%. Two groups of comparisons difference was statistically significant （ P 〈 0.01 ）. Conclusion ： For important people involved in drug disposition program training can make families know diseases, To mobilize support of family role, guide patients＇ recover, Thus stable patients with schizophrenia, illness, family harmony, improve medication adherence, reduce recurrence rate, so as to improve the quality of life.
出处
《护理实践与研究》
2012年第2期12-14,共3页
Nursing Practice and Research
关键词
重要人物
药物处置程式
男性精神分裂症
恢复期
Important characters
Drug disposition program
Male schizophrenia
Recovery stage
