患者用药心理调查与治疗依从性的关系研究

Research on the relationship between medicine psychoanalysis and therapy compliance for patients

目的从心理的角度去探讨解析用药心理表现与治疗依从性的关系,分析把握不同心理状态类型,为提高治疗依从性提供理论依据。方法采用反馈式问卷调查方式,对472例患者从思维、观念、情感、行为等方式评价和揭示各方面用药心理行为特点和治疗依从性的关系。结果某些偏倚心理具两面性。正常心理与偏倚心理有时可表现出一致的用药行为。偏倚心理各类型平均不依从率与患者年龄差异无统计学意义。高、低学历组在轻视心理中产生的不依从率差异有统计学意义。结论应注意内因和外因对偏倚心理各类型的影响,采取疏导式、矫正式的方法进行用药行为干预,唤起社会对用药心理状态的关注与重视,从而提高治疗依从性。

Objective To discuss the relationship between medicine psychoanalysis and therapy compliance from psychoanalytic perspective, and analyze different types of psychology, in order to provide the theoretic basement for therapy compliance. Methods 472 patients were enrolled to evaluate and reveal the relationship between each level of medicine psychoanalysis and therapy corn pliance based on the feedback-questionnaire on thinking, intention, emotions and behavior respective. Results Certain bias-psy- chology had dual character. Sometimes bias psychology may showed the same medicine behavior to the normal one. Average incom- pliance ratio of each type for bias psychology had no obvious relationship with the age of patients, whereas it showed significantly discrepancy from contempt psychological between high and low education group. Conclusion Pay attention to the impact of each type of bias-psychology from internal and external factors, use leading and correctional method for medicine behavioral interven- tion, which calls for everyone＇s concern and attention to medicine psychoanalysis, and improve therapy compliance.