精神分裂症患者服药依从性与家庭环境的相关性研究

目的：分析精神分裂症患者服药依从性与家庭环境的相关性。方法：对495名精神分裂症患者进行问卷调查。调查工具包括一般资料问卷、家庭环境量表中文版（FES-CV）和精神分裂症患者服药依从性问卷。结果：单因素分析结果显示，年龄、病程、住院次数、就诊方便程度、家庭经济状况、医疗费用情况和家人是否参加过健康教育是精神分裂症患者服药依从性的影响因素（P〈0.05）；精神分裂症患者家庭环境量表各维度得分与国内常模相比均有统计学差异（P〈0.05）；精神分裂症患者服药依从性量表各维度得分与家庭环境量表各维度得分相关（P〈0.05）；分层回归分析显示，亲密度、病程、就诊方便程度和住院次数均为精神分裂症患者服药依从性的影响因素。结论：精神分裂症患者服药依从性与其家庭环境密切相关，应加强对患者家庭的护理干预，以提高患者的服药依从性。

Correlation between medication adherence and family environment among patients with schizophrenia

Objective：To explore the correlation between medication adherence and family environment among patients with schizophrenia. Methods：A questionnaire survey inquiring patient＆#39;s demographic data, medication adherence and family environment was conducted on 495 patients with schizophrenia. Results：Single-factor analysis results showed that medication adherence of patients with schizophrenia was influenced by some demographic data （P〈0.05）. The mean score of the four dimensions of FES-CV were all different from the national norms （P〈0.05）. Correlation analysis results showed that most dimensions of the medication adherence scale and FES-CV were correlated （P〈0.05）. Hierarchical regression analysis showed that cohesion, course of disease, accessibility of medical service and times of hospitalizations were contributing factors of medication adherence. Conclusion：There is a correlation between medication adherence and family environment among patients with schizophrenia. Intervention should be implemented in patients＆#39; families so as to improve patients＆#39; medication adherence.