抑郁症患者服药依从性的影响因素及护理对策

The influential factors and nursing countermeasures for compliance of patients with depression.

目的探讨抑郁症患者服药依从性的影响因素及护理对策。方法采用问卷函调、电话问询和面谈三种方式,对116例已出院的抑郁症患者服药情况以及相关因素进行调查。结果依据调查的结果分为两组:依从性佳研究组(完全按照医嘱服药的患者)和依从性差研究组(自动停药或不规律服药的患者)。结果发现:两组在文化程度、认知水平、疾病残留症状、药物副作用、家庭经济等方面存在差异性。结论文化程度高、认知水平好、同时具有很少的药物副作用和残留抑郁症状的抑郁症患者服药依从性较好,反之则相对较差。

Objective To explore the influential factors and nursing for compliance of patients with depression. Methods One hundred and sixteen outpatients with depression were studied. By adopting three methods, such as mail inquiry with questionnaires, telephone surveys and interviews, meanwhile, their condition of taking medicine and correlated factors were analyzed. All patients were divided into two groups according to results of inquiry： better compliance group （it means that patients can take medicine completely according to doctor＇s advice） and worse compliance group （ it means those stopped taking medicine willingly or taking medicine anomaly）. Results There was significant difference between these two groups in educational level, cognitive level to depression, the residual symptoms of disease, side effects of drugs, family income and so on. Conclusion Patients with higher educational level will often be better cognition, meanwhile patients with less drug side effects and fewer residual symptoms would have better drug compliance, otherwise, it is relatively worse.