住院精神病患者拒药行为分析与护理对策

The hospitalized psychotic patient refuse the medicine behavior anal- ysis and nursing counterplan

目的探讨住院精神病患者拒绝药物治疗的原因及护理对策。方法对526例住院精神病患者中拒药患者的资料进行调查，并对其进行护理干预。结果出现拒药行为178例（33．8％），其中直接拒药142例（79．8％），藏药36例（20．2％）；首次住院患者106例（59．6％）；拒药患者中主要原因是对疾病缺乏自知力，认为自己没有病，不需要治疗（57．3％）。结论护理干预能消除或缓解患者的拒药心理和行为，提高患者对药物治疗的依从性，缩短住院时间。

Objective To inquiry into reason and nursing counterplan of hospitalized brush - off medicine treatment of psychotic patient. Methods To 526 hospitalized of psychotic patient of refuse the medicine sufferer＇s data carry on inquisition, and as to it＇s carry on a nursing intervention. Results Appear to refuse medicine behavior 178 （33. 8% ）, directly refuse among them a medicine 142 （79. 8% ）, hide a medicine 36 （20. 2% ） ; For the very first time hospitalized sufferer＇s 106 （59. 6% ） ; Refuse medicine＇s main reason in the sufferer lacks to know oneself dint to the disease, think oneself has no disease, dont need to cure 57. 3%. Conclusion The nursing intervention can remove or alleviate medicine mental state and behavior of refuse of sufferer and raise a sufferer to the medicine cure of obey sex, shorten hospitalized time.