物理因子治疗对肩颈腰腿痛的老年精神分裂症患者的服药依从性和心理状态的影响

Effect of Physical Factor Therapy on Medication Compliance and Psychological State of Elderly Schizophrenic Patients with Shoulder,Neck,Waist and Leg Pain

目的:探究物理因子治疗对肩颈腰腿痛的老年精神分裂症患者的服药依从性和心理状态的影响。方法:选择2021年3—7月在上海市嘉定区精神卫生中心住院且出现肩颈腰腿痛的111例老年精神分裂症患者作为研究对象。随机分为干预组(n=55)和对照组(n=56)。对照组接受精神科常规治疗及护理,干预组在此基础上接受物理因子治疗,连续干预4周后比较两组服药依从性和心理状态。结果:干预前,两组服药有依从性患者占比和正常心理状态患者占比比较,差异无统计学意义(P>0.05);干预4周后,干预组服药有依从性患者占比和正常心理状态患者占比高于对照组,差异有统计学意义(P<0.05)。干预前,两组服药态度评分、汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分比较,差异无统计学意义(P>0.05);干预4周后,干预组服药态度评分高于对照组及干预前,HAMA评分、HAMD评分均明显低于对照组及干预前,差异有统计学意义(P<0.05)。结论:物理因子治疗有助于提高长期住院的伴肩颈腰腿痛的老年精神分裂症患者的服药依从性,且能改善其心理状态。

Objective:To explore the effect of physical factor therapy on medication compliance and psychological state of elderly schizophrenic patients with shoulder,neck,waist and leg pain.Method:A total of 111 elderly schizophrenic patients with shoulder,neck,waist and leg pain who were hospitalized in Shanghai Jiading Mental Health Center from March to July 2021 were selected as the study objects.They were randomly divided into intervention group(n=55)and control group(n=56).The control group received conventional psychiatric treatment and nursing,and the intervention group received physical factor therapy on this basis.After continuous intervention for 4 weeks,the medication compliance and psychological state of the two groups were compared.Result:Before intervention,there were no significant differences between the proportion of patients with medication compliance and the proportion of patients with normal psychological state between the two groups(P>0.05).After 4 weeks of intervention,the proportion of patients with medication compliance and normal psychological state in the intervention group were higher than those in the control group,and the differences were statistically significant(P<0.05).Before intervention,there were no significant differences between the two groups in taking medication attitude score,Hamilton anxiety scale(HAMA)score and Hamilton depression scale(HAMD)score(P>0.05).After 4 weeks of intervention,the treatment attitude score of the intervention group was higher than that of the control group and before intervention,and the HAMA score and HAMD score were significantly lower than those of the control group and before intervention,the differences were statistically significant(P<0.05).Conclusion:Physical factor therapy can improve the medication compliance of elderly schizophrenic patients with shoulder,neck,waist and leg pain in hospital for a long time,and can improve their psychological state.