药物自我处置程式训练对精神分裂症患者服药依从性及社会功能影响.docVIP

药物自我处置程式训练对精神分裂症患者服药依从性及社会功能影响 　　[摘要] 目的 探讨药物自我处置程式训练对病情稳定的精神分裂症患者服药依从性、症状及社会功能的作用。 方法 选取2014年7月～2015年6月在中山市第三人民医院住院并处于稳定期的精神分裂症患者84例，按随机数字表法分?槭笛樽橛攵哉兆椋?每组各42例。两组患者均接受药物治疗+常规康复训练8周，实验组同时接受药物自我处置程式训练8周，出院后随访1年。采用药物依从性评分表、简明精神病量表（BPRS）与社会功能缺陷筛查量表（SDSS）对两组患者每3个月进行评估，评价两组患者在服药依从性、复发率与社会功能的差异。结果 两组入组时服药依从性差异无统计学意义（P 0.05）；出院时两组与入院时比较，差异有统计学意义（P 0.05）；对照组患者BPRS评分出院后高于出院时（P 0.05），SDSS评分在6、9、12个月时低于出院时（P 0.05）。 结论 药物自我处置程式训练可以有效提高精神分裂症患者出院后的服药依从性，维持病情的稳定，降低疾病复发率，防止社会功能恶化。 　　[关键词] 精神分裂症；药物自我处置程式训练；服药依从性；社会功能 　　[中图分类号] R749 [文献标识码] A [文章编号] 1673-7210（2017）03（b）-0123-04 　　Effect of drug self-disposal training on medication compliance and social function in schizophrenic patients 　　WANG Xiangyang XIONG Yunzhen LONG Jie XIN Jingli 　　Department of Early Intervention， Third Peoples Hospital of Zhongshan City， Guangdong Province， Zhongshan 528400， China 　　[Abstract] Objective To explore the effect of drug self-disposal training on medication compliance， symptoms and social function in schizophrenic patients. Methods from July 2014 to June 2015， in Third Peoples Hospital of Zhongshan City， 84 schizophrenic patients in steady phase hospitalized were selected， randomly divided into the experimentaion group and the control group according to the random number table method， with 42 cases were in each group. Both groups received drug therapy and routine rehabilitation training for 8 weeks， in addition， the experimentaion group received drug self-disposal training for 8 weeks. These patients were followed-up for one year after discharging. Medication compliance， relapse rate and social function were assessed by medication compliance rating scale， Brief Psychiatric Rating Scale （BPRS） and Social Disability Screening Schedule （SDSS） in every three months. Results The difference between two groups in medication compliance was not statistically significant at baseline （P 0.05）； the medication compliance in two groups were improved after rehabilitation training， the difference was