精神科护士主导的依从性干预对精神分裂症患者临床结局影响的Meta分析

发布时间：2018-02-28 08:11

本文关键词： 精神分裂症服药依从性干预性研究 Meta分析　出处：《中华护理杂志》2017年08期 　论文类型：期刊论文

【摘要】：目的系统评价由精神科护士主导的依从性干预对精神分裂症患者临床结局的效果。方法计算机检索国内外数据库中,关于精神科护士主导的依从性干预对精神分裂症患者服药依从性的随机对照试验。由2名研究员按照纳入和排除标准筛选文献、提取资料、评价质量,采用Rev Man 5.2软件进行Meta分析。结果共纳入15项随机对照试验,试验组683例,对照组681例。结果显示,精神科护士主导的依从性干预能够提高患者的服药依从性态度和依从性行为,改善精神症状、功能和自知力,缩短住院时间。但在降低病耻感、提高生活质量、减轻药物副作用方面,依从性干预效果与对照组相当(P0.05)。结论由精神科护士主导的依从性干预能有效提高精神分裂症患者的服药依从性,其间接效应包括改善症状、功能和自知力,缩短住院时间,但在降低病耻感、提高生活质量、减轻药物副作用方面并未显示出优势。
[Abstract]:Objective to evaluate systematically the effect of compliance intervention led by psychiatric nurses on the clinical outcome of schizophrenic patients. A randomized controlled trial on compliance with medication in schizophrenic patients with compliance intervention led by psychiatric nurses was conducted. According to the inclusion and exclusion criteria, two researchers sifted the literature, extracted the data and evaluated the quality. Meta analysis was carried out with Rev Man 5.2 software. The results showed that there were 683 cases in the trial group and 681 cases in the control group. The compliance intervention led by psychiatric nurses can improve the patients' compliance attitude and behavior, improve their mental symptoms, function and insight, shorten the length of stay in hospital, but reduce their sense of shame and improve their quality of life. Conclusion the compliance intervention led by psychiatric nurses can effectively improve the compliance of patients with schizophrenia, and its indirect effects include improving symptoms. Function and insight, shorten hospitalization time, but in reducing the sense of shame, improve the quality of life, reduce the side effects of drugs showed no advantage.
【作者单位】：哈尔滨医科大学大庆校区护理学院;
【基金】：国家自然科学基金面上课题(71673070) 哈尔滨医科大学研究生创新科研项目(YJSCX2016-39HYD);哈尔滨医科大学大庆校区校内科研基金项目(DQXN201611)
【分类号】：R473.74

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