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浦东新区初诊精神分裂症患者服药依从性的4年随访结果
引用本文:秦虹云,王振萍,张洁,闵海瑛,陈福珍,严彩英,傅伟忠,张明. 浦东新区初诊精神分裂症患者服药依从性的4年随访结果[J]. 中国民康医学, 2013, 25(3): 14-17
作者姓名:秦虹云  王振萍  张洁  闵海瑛  陈福珍  严彩英  傅伟忠  张明
作者单位:浦东新区精神卫生中心,上海,200124
基金项目:上海浦东新区卫生局科委资助
摘    要:目的:调查2007年1月1日至2008年12月31日浦东新区精神卫生中心门诊首次就诊的89例精神分裂症患者的服药依从性,进行4年的随访研究,分析其可能存在的社会心理影响因素。方法:采用自编的调查量表,将数据输入SPSS11.5,采用参数及非参数统计方法进行分析。结果:药物治疗依从性为74.6%~82.7%,随着随访时间的延长而逐渐下降,而且随访的病例逐渐减少;复发组患者的依从性较首发组较好,差异有统计学意义(P〈0.05或P〈0.01)。个体化心理干预,精神症状改善程度,以及药物的不良反应等对治疗依从性影响没有统计学意义的差异。结论:首发分裂症患者的治疗依从性需要提高。

关 键 词:精神分裂症  服药依从性  随访

The compliance of outpatient Schizophrenics: 4-year follow-up
Affiliation:QIN Hong-yun,WANG Zheng-ping,ZHANG Jie,et al(Pudong Xinqu mental & health center,Shanghai 200124,China)
Abstract:Objective:To study the demographic characters of outpatient schizophrenics who accepted their routine treatment in the clinics of Pudong mental health centre from January 1 st 2007 to December 31st 2008. Methods:All the patients were surveyed by the Serf - edited Questionnaire which included the general health state, diagnoses, career, family care, education, etc. All the data were put in and analyzed with the software SPSSll. 5. Results: Altogether, 89 schizophrenics were agreed to take part in the program. The average compliance was 74.6 - 82.7%, and decreased with time. There was significant differences between the compliance of the re- lapsed group and the first episode group( P 〈 0.05/P 〈 0.01 ). And there were no significant differences between the individualized in- tervention group and the controls, between the symptom improved group and the controls, between the side - effects group and the con- trois. Conclusions: The compliance of the first episode schizophrenics need to be improved.
Keywords:Schizophrenia  Compliance  Follow - up
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