自知力对精神分裂症患者治疗依从性的影响

目的探讨自知力对精神分裂症治疗依从性的影响。方法符合入组条件的116例患者随机分为两组，对照组仅以药物维持治疗，研究组合并自知力教育。观察1年。以BPRS（简明精神病量表）评定病情轻重及自知力障碍程度，依从性分为完全依从，部分依从，不依从3个等级，并统计观察期间再入院率。结果研究组6个月后BPRS评分，自知力障碍评分均显著低于对照组（P〈0．05），至观察结束差异更趋明显（P〈0．01），治疗依从性，再入院率观察结束时．两组比较差异显著（P〈0．01或P〈0．05）。结论自知力教育可提高精神分裂症患者的治疗依从性。

Effect of Insight on the Treatment Compliance of Schizophrenic Patients

Objective To study the effect of insight on the treatment c ompliance of schizophrenic patients. Methods 116 inpatients with schizophrenia were randomly divided into two groups, control group combined drug and insight education group, who were obseved for one year. The Brief Psychiatr ic Rating Scale (BPRS) was used to assess the state of illness and the degree of impaired insight, compliance is composed of total, In part and don't obey three grades of compliance, and added up the rate of rehospitalization during the obs ervation. Results After 6 months, the scores of BPRS and impair ed insight of study group showed signific ant lower than that of control group (P<0.01), when the observa tion was over, the difference was gradully obvious (P<0.01). The therapy compliance and the rate of rehospitalization held remarkable difference between the two growps while th e observation was over (P<0.01 or P<0.05). C onclusion Insight educaton may improve the therapy compliance of schizoph renic patients.