康复期精神分裂症患者的药物管理技能训练

Effects of Medicine Control Skill Training on Schizophrenic Patients

目的探讨药物管理技能训练对康复期精神分裂症患者的影响。方法选取康复期精神分裂症患者94例,随机分为观察组(50例)和对照组(44例),对照组进行常规护理,观察组增加药物管理技能训练,对两组患者随访1年。采用简明精神病评定量表(BPRS)、自知力与治疗态度问卷量表(ITAQ)评价患者的病情,自拟服药依从性调查表比较其效果。结果观察组出院半年和1年末,BPRS评分显著低于对照组,ITAQ评分显著高于对照组,服药依从性显著高于对照组,复发率显著低于对照组(P<0.05,P<0.01)。结论药物管理技能训练能提高患者服药治疗依从性,对预防复发、改善预后有一定的促进作用。

Objective To explore the effects of medicine control skill training on the schizophremc patients, naemoos Niety-four schizophrenic patients were randomly divided into an observation group （n= 50） and a control group （n= 44） at admission. The control group received routine care, while the observation group were given medicine control skill training besides that. Brief Psychiatric Rating Scale （BPRS）, Insight and Treatment Attitude Questionnaire （ITAQ） and a self-made medication compliance evaluating sheet were used to evaluate the effect one year after they were discharged. Results The observation group had significantly lower BPRS scores than the control group half a year and one year after discharge. The scores of ITAQ in the observation group were significantly higher than those in the control group half a year and one year after discharge （P〈0.01 for both）. The medication compliance of the observation group were significantly better than those of the control group, and the recurrent rate in the observation group were significantly lower （P〈0.05 for both）. Conclusion The skills training of the drug management can improve schizophrenic patients＇ medication compliance and prognosis, and prevent recurrence.