住院精神病患者服药依从性的影响因素

目的分析住院精神病患者服药依从性的影响因素,从而提出干预措施。方法通过与病人、家属及其他病友交流以及对病人进行观察,对89例服药依从性差的住院患者进行分析。结果影响住院精神病患者服药依从性的原因很多,在89例被调查者中,对疾病无正确认识23例(占25.84%),害怕出现药物副反应17例(占19.10%),受幻觉妄想内容的影响15例(占16.85%),认为自己病好了没有必要再服药11例(占12.36%),对医护人员不信任7例(占7.86%),经济因素7例(占7.86%),家属对病人支持不良6例(占6.74%),企图积存药物自杀3例(占3.37%)。结论影响住院精神病患者服药依从性的原因,有病人个人的因素、医护人员的因素和其他因素(经济因素、家属的态度)等。

The Influencing Factors of Medication Compliance of Hospitalized Psychiatric Patients

Objective To analyze the influencing factors of hospitalized psychiatric patients with poor medication compliance,and propose interventions.Methods With the method of communication with the patients,families and other patient as well as observation,to analyze 89 hospitalized psychiatric patients with poor medication compliance.Results There were many factors influenced hospitalized psychiatric patients＇ compliance.In 89 patients,23 cases（25.84%）were in no correct understanding of the disease,17 cases（19.10%）were in fear of adverse drug reactions,15 cases（16.85%） were influenced by the content of delusions hallucinations,11 cases（12.36%）thought their disease was cured and didn＇t need to serve further,7 cases（7.86%）mistrust health care,7 cases（7.86%） were influenced by economic factors,6 cases（6.74%）were in poor family support,3 cases（3.37%）were attempt to accumulate drug to suicide.Conclusion The influencing factors of medication compliance for psychiatric patients due mainly to patient factors,medical factors and other factors（economic factors,and the family＇s attitude）,etc.