门诊精神分裂症患者服药依从性状况调查与分析

A investigation and analysis on compliance of outpatients with schizophrenia

目的了解门诊精神分裂症患者服药依从性状况。方法应用自编服药依从性调查问卷,对436例门诊精神分裂症患者进行调查,并进行相关分析。结果完全依从的患者占40.6%,36%的患者存在时常忘记服药,43%的患者存在自行减药或停药,47.8%的患者担心服用精神科药物会被熟人知道而造成不利影响,43.8%的患者表示如有不良反应是会考虑自行减药或停药,32.8%的患者担心药物会带来不适或伤害。服药依从性明显受患者对药物治疗不良认识的影响。结论应采取针对性健康教育措施,提高精神分裂症患者服药依从性。

Objective To explore compliance of outpatients with schizophrenia. Methods Self-formulated questionnaires were applied in the survey on 436 outpatients with schizophrenia. Results Among those outpatients, 40. 6% was with complete compliance; 36% had not established the habit of regularly taking medicine; 43% had the behavior of self-decrease or self-discontinuance of drug; 47.8% dared the disadvantages of taking antipsychotics known by acquaintance; 43.8% could not bear the side effects of medicine; 32. 8% won＇ied about the compliant or damage of drug. Compliance was much influenced by dyscoguition of drug therapy. Conclusion It is necessary to take special policy on health education to develop compliance of patients with schizophrenia.