河南省社区精神分裂症患者服用中药意愿现状及影响因素调查

Investigation on the willingness and influencing factors of community schizophrenic patients to take traditional Chinese medicine in Henan province

目的调查河南省社区精神分裂症患者服用中药意愿的现状及影响因素。方法根据横断面研究样本量计算公式对所需样本量进行估算,采用分层多阶段随机抽样方法抽取国家严重精神障碍患者信息系统中河南省在册严重精神障碍患者,利用一般资料问卷收集患者基本资料,采用Logistic回归分析方法探讨患者服用中药意愿的相关影响因素。结果共收集资料1810份,其中有服用中药意愿421例(23.26%)。单因素分析显示,监护人年龄、家族史、居住地、患者是否参与社区康复、患者受教育程度、患者职业、参保情况、生活自理程度等21个方面是影响患者服用中药意愿的相关影响因素。多因素Logistic回归分析显示,监护人年龄、居住地、患者是否参与社区康复、患者受教育程度、患者职业、参保情况、生活自理程度、近一个月服药依从性、患者管理情况、经济比较困难、西药不良反应、害怕别人知道自己有精神病、医疗费用高、到医院看病不方便、觉得去看精神病是件丢人的事、西药效果不好、精神病不需要治疗、监护人不让吃药及精神疾病是中邪是精神分裂症患者服用中药意愿的综合影响因素。结论河南省社区精神分裂症患者有服用中药意愿者偏少,而其影响因素较多,且不同群体影响因素有一定差异。对于不同人群的社区精神分裂症患者需采取不同的差异性用药宣教,合理采用中西医结合的用药原则,有助于提高其生存质量。

Objective To investigate the current situation and influencing factors of community schizophrenic patients’ willingness to take traditional Chinese medicine in Henan province. Methods The required sample size was estimated according to the sample size calculation formula for cross-sectional studies. A stratified multi-stage random sampling method was used to select patients with severe mental disorders registered in Henan Province from the National information system for patients with severe mental disorders. The general data questionnaire was used to collect the basic data of patients, and the Logistic regression analysis was used to explore the related influencing factors of patients’ willingness to take traditional Chinese medicine. Results A total of 1 810 data were collected, of which 421 cases(23.26%) were willing to take traditional Chinese medicine.Univariate analysis showed that 21 aspects,including guardian’s age,family history,place of residence,whether to participate in community rehabilitation,patient’s education level,patient’s occupation,insurance status,and self-care level,were the relevant influencing factors for patients’ willingness to take traditional Chinese medicine.Multivariate Logistic regression analysis showed that the guardian’s age,place of residence,whether to participate in community rehabilitation,patient’s education level,patient’s occupation,insurance status,self-care level,medication compliance in the past month,patient management,financial difficulties,adverse reactions of western Medicine,fear of others knowing they’re mentally ill,high medical costs,inconvenience to see a doctor in the hospital,stigma,western medicine is not effective,mental illness does not require treatment,guardian does not allow medicine,mental illness is evil were the comprehensive influencing factors of psychiatric patients’ willingness to take traditional Chinese medicine.Conclusions There are few community schizophrenic patients in Henan Province who are willing to take traditional Chinese medicine,and there are many influencing factors,and the influencing factors of different groups are different to some extent.Different groups of community psychiatric patients need to take differentiated medication,and rationally adopt the principles of integrated traditional Chinese and western medicine to improve the quality of life.