动机性访谈对精神分裂症患者服药依从性的临床效果

Clinical Effect of Motivational Interview on Medication Compliance of Schizophrenic Patients

目的:探讨动机性访谈对精神分裂症患者服药依从性的临床价值。方法:选取2017年10月-2018年6月于笔者所在医院精神科住院的精神分裂症患者80例,均符合纳入标准。按随机数字表法分为对照组及干预组,每组40例。对照组进行常规护理,干预组在常规护理基础上采用一对一、分阶段式的动机性访谈方式,干预时间为8周。结果:两组入院时服药依从性、SDSS及QOL-P评分比较,差异均无统计学意义(P>0.05)。护理8周后,干预组服药依从性高于对照组(x^2=13.06,P<0.05)。护理8周后,干预组SDSS评分为(7.30±2.30)分,低于对照组的(10.20±1.40)分(P<0.05)。护理8周后,干预组生理维度评分为(18.36±5.52)分,心理维度评分为(27.75±6.35)分,社会维度评分为(26.44±6.32)分,症状维度评分为(11.85±4.82)分,均低于对照组的(25.76±4.87)、(32.75±5.27)、(30.63±5.41)、(14.78±5.13)分,差异均有统计学意义(P<0.05)。结论:对精神分裂症患者实施动机性访谈护理,能有效提高患者治疗依从性,促进疾病康复。

Objective: To explore the clinical value of motivational interview on medication compliance of schizophrenic patients. Method: From October 2017 to June 2018, 80 schizophrenic patients who met the admission criteria were hospitalized in our psychiatric department. The patients were divided into the control group and the intervention group according to the random number table method, with 40 cases in each group. The control group received routine nursing, while the intervention group received one-to-one and step-by-step motivational interview on the basis of routine nursing, and the intervention time was 8 weeks. Result: Medication compliance, SDSS and QOL-P scores were compared between the two groups, and the differences were not statistically significant(P>0.05). After 8 weeks of nursing, medication compliance in the intervention group was higher than that of the control group(t=13.06, P<0.05). After 8 weeks of nursing, SDSS score of the intervention group was(7.30±2.30) points, which was lower than(10.20±1.40) points of the control group(P<0.05). After 8 weeks of nursing, the physiological dimension score was(18.36±5.52) points, the psychological dimension score was(27.75±6.35) points, the social dimension score was(26.44±6.32) points and the symptom dimension score was(11.85±4.82) points in the intervention group, which were lower than(25.76±4.87),(32.75±5.27),(30.63±5.41) and(14.78±5.13) points of the control group, and the differences were statistically significant(P<0.05). Conclusion: The implementation of motivational interview nursing for schizophrenic patients can effectively improve the compliance of patients with treatment and promote the rehabilitation of the disease.