健康教育对首发精神分裂症病人自知力恢复、服药依从性及复发的影响

目的: 探讨健康教育对首发精神分裂症病人自知力恢复、服药依从性及复发的影响.方法: 将112例首发精神分裂症病人随机分为健康教育联合氯丙嗪组(健康教育组)及单用氯丙嗪治疗组(对照组)各56例,分别于入院和出院时进行简明精神病量表(BPRS)、自知力与治疗态度问卷(ITAQ)及服药依从性评定,并对两组临床疗效达显进(痊愈 显著进步)以上的出院病人进行为期 2年的随访,以了解其复发情况.结果:两次BPRS评分两组间比较,差别均无显著性意义(P>0.05);入院时ITAQ评分两组间比较,差别无显著性意义(P>0.05),但出院时健康教育组ITAQ评分明显高于对照组(P<0.01);入院时服药依从性两组间比较,差别无显著性意义(P>0.05), 但出院时健康教育组服药依从性改善明显优于对照组(P<0.05);2年内,健康教育组复发率明显低于对照组(P<0.01).结论: 健康教育不仅有助于首发精神分裂症病人的治疗,而且可降低其复发率.

Effect of health education on insight recovering drug therapy compliance and recurrence in first-episode schizophrenic patients

Objective:To investigate the effect of the health education on insight recovering,drug therapy compliance and recurrence in first-episode-schizophrenic patients. Methods:One hundred and twelve first-episode schizophrenic inpatients were randomly assigned into two groups : chlorpromazine therapy group (n=56) and health education combining with chlorpromazine therapy group (n=56) .The Brief Psychiatric Rating Scale (BPRS) and the Insight and Treatment Attitude Questionnaire(ITAQ) and drug therapy compliance were used to assess the patients in the two groups when they were admitted in and discharged from hospital. These patients were followed up for two years.Results:It was found that the scores of BPRS in the two groups didn't show significant difference (P>0.05) .The scores of the ITAQ were similar at the beginning of hospitalization in the two groups ,but the score in the combined therapy group was significant higher than that in the chlorpromazine therapy group when they were discharged (P<0.01) .The compliance of drug therapy in the combined therapy group was significantly better than that in the chlorpromazine therapy group (P<0.05) . The rate of recurrence in the combined therapy group was significant lower than that in chlorpromazine therapy group within two years(P<0.01). Conclusions:The health education not only is beneficial to the treatment for first-episode schizophrenic patients,but also can lower of these patients the rate of recurrence.