精神分裂症患者药物处置干预效果探讨

目的提高精神分裂症患者服药依从性和药物管理水平。方法将80例住院治疗的稳定期精神分裂症患者随机分为对照组(40例)与干预组(40例)。对照组给予常规治疗护理;干预组在常规治疗护理基础上增加药物处置培训,出院时分发服药盒、服药卡,出院后每周发送短信提醒患者按时服药。结果干预4周后干预组药物管理知识、精神病情阳性症状评分及总分显著优于对照组(均P<0.05),出院3个月后服药依从性显著高于对照组(P<0.01)。结论对稳定期精神分裂症患者实施药物处置培训,可提高其药物自我管理水平和服药依从性,从而改善相关临床症状。

Effect of a medication management promotion program in schizophrenic patients

Objective To enhance medication adherence and management ability of patients with schizophrenia. Methods Eighty stable patients with schizophrenia were randomized into a control group and an intervention group of 40, receiving either routine nursing care or a medication management promotion program in which drug storage box and card was distributed at discharge, and text message was sent every week to remind patients to take medicine on time after discharge. Results After 4 weeks of intervention, the intervention group had better medication management knowledge, lower total Positive and Negative Symptoms Scale score and positive symptoms score, and higher medication adherence compared with the control group (P<0.05,P<0.01). Conclusion The medication management promotion program can effectively enhance medication selfmanagement and adherence of patients with stable schizophrenia, thus to alleviate their symptoms.