精神疾病患者服药依从性现况及影响因素研究

发布时间：2018-04-02 06:02

本文选题：精神疾病　切入点：服药　出处：《南华大学》2016年硕士论文

【摘要】：目的:调查研究精神疾病患者出院2年内服药依从性现状及患者预后情况,探讨影响精神疾病患者服药依从性的可能因素,为提高精神疾病患者出院后服药依从性提供理论依据。方法:选取衡阳市第二人民医院2012年1月1日后出院满2年的精神疾病患者430人为研究对象,采用自行设计的调查问卷,以现场问卷和电话随访的方式对其服药依从性的现状及影响因素进行调查,发放问卷430份,有效问卷410份,问卷有效率为95.3%,应用SPSS 18.0统计软件建立数据文件并进行统计分析,率或构成比比较采用卡方检验,服药依从性为等级结果的采用非参数检验。检验水准=0.05。结果:1、精神疾病患者服药依从率为83.9%,其中完全依从率为40.5%。完全依从患者的复发率远远低于部分依从和完全不依从的复发率,不同服药依从性患者复发率差异具有统计学意义;2、精神疾病患者的服药依从性与患者的年龄、文化程度、地区、婚姻状况、家庭人均月收入有关,年龄越大、文化程度高、家庭经济收入好的患者依从性越好;城市患者好于农村患者,已婚有配偶的患者的服药依从性优于未婚单身;3、不同类型精神疾病患者服药依从性差别有统计学意义,以器质性精神障碍患者依从性最好,精神分裂症患者依从性最差;4、药物的副作用及药物种类影响患者的服药依从性,患者服药出现副作用及药物种类越多,依从性越差;获得家庭及社会成员支持的精神疾病患者其服药依从性较高。结论:精神疾病患者2年内的服药依从性欠佳,患者服药依从性受个体因素、社会家庭因素、医护因素的影响。
[Abstract]:Objective: to investigate the status of drug compliance and the prognosis of patients with mental illness within 2 years of discharge, and to explore the possible factors affecting the compliance of patients with mental illness.To provide a theoretical basis for improving the compliance of patients with mental illness after discharge from hospital.Methods: 430 patients with mental illness who were discharged from Hengyang second people's Hospital after 1 January 2012 were selected as the research objects, and a self-designed questionnaire was used.The status quo and influencing factors of drug compliance were investigated by field questionnaire and telephone follow-up. 430 questionnaires and 410 valid questionnaires were given out. The effective rate was 95.3. SPSS 18.0 statistical software was used to establish the data file and carry on statistical analysis.The rate or composition ratio was compared by chi-square test, and nonparametric test was used when compliance was the grade result.The inspection level is 0.05.Results the compliance rate of the patients with mental illness was 83.9%, and the complete compliance rate was 40.5%.The relapse rate of patients with complete compliance was far lower than that of partial compliance and complete non-compliance. The difference of relapse rate of patients with different drug compliance was statistically significant.Area, marital status, family per capita monthly income, the older the age, the higher the education level, the better the compliance of the patients with good family income; the better the urban patients are than the rural patients.The drug compliance of married patients with spouses was better than that of unmarried patients. There were statistically significant differences in drug compliance among patients with different types of mental disorders, and the patients with organic mental disorders had the best compliance.The compliance of schizophrenia patients is the worst. The side effects of drugs and the kinds of drugs affect the compliance of patients. The more side effects and the more kinds of drugs, the worse compliance.Patients with mental disorders supported by family and social members had higher compliance with medication.Conclusion: the compliance of patients with mental illness within 2 years is poor, and the compliance of patients is affected by individual factors, social and family factors and medical care factors.
【学位授予单位】：南华大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R749

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