浏阳市农村社区精神分裂症患者接受免费药物情况研究

发布时间：2019-02-19 18:07

【摘要】：目的：了解农村社区的精神分裂症患者领药及服药情况,描述浏阳市农村社区精神分裂症患者领药规范性及其特点；探讨精神分裂症患者未领药的原因及其影响因素；方法：本研究主要采用了文献研究、现场调查及深入访谈法对湖南省浏阳市农村社区精神分裂症患者领药情况进行调查分析。采用整群随机抽样方法,对抽中的4个乡镇共计42个行政村被确诊为精神分裂症的391例患者进行领药及服药情况问卷调查,功能状况评价采用功能大体评定量表(GAF)。结果：浏阳市农村社区的391例精神分裂症患者在2011-2013年这三年按时领药率(全年6次领药)的分别为37.9%、34.8%、43.2%,近五年内完全没有领药的患者占6.90%。前五位的未领药原因是不愿意／不舒服才吃药(23.6%)、忘记／错过领药时间(20.6%)、住院(20.1%)、未按医嘱服药(19.6%)、自己买药(14.1%)。领药规范组和不规范组患者在最近半年及一个的领药情况、最近一年的门诊及住院情况等方面存在差异；两组在药物管理及督促服药方面无统计学意义。结论：浏阳市农村社区精神分裂症患者有28.3%的人领药规范；因发病就诊、未坚持服药、出现发脾气打人的精神分裂症患者的领药规范性低于没有因发病就诊、每天坚持服药、未出现发脾气打人等危险行为的患者。自知力的缺损、对药物副作用缺乏正确认识、家庭支持的缺少、有待完善的社区防治体系是患者未领药的主要原因。
[Abstract]:Objective: to investigate the status of drug collection and medication for schizophrenia patients in rural communities, to describe the prescriptions and characteristics of drug collection for schizophrenia patients in rural communities in Liuyang city, and to explore the causes and influencing factors of patients with schizophrenia. Methods: in this study, literature studies, field investigations and in-depth interviews were used to investigate and analyze the drug application of schizophrenia patients in rural communities in Liuyang City, Hunan Province. Using cluster random sampling method, a total of 391 patients with schizophrenia diagnosed in 42 administrative villages in 4 townships were investigated with a questionnaire. The functional status was evaluated with the General function Assessment scale (GAF). Results: in the three years from 2011 to 2013, 391 schizophrenic patients in the rural community of Liuyang City received the drug on time (6 times a year), respectively, with 37.9% 34.8% and 43.2% respectively. In the last five years, 6.90% of the patients did not receive any medication at all. The first five reasons for not receiving medicine were unwilling / uncomfortable to take medicine (23.6%), to forget / miss the time of getting medicine (20.6%), to hospitalization (20.1%), not to take medicine according to doctor's order (19.6%), to buy medicine by oneself (14.1%). There were differences between the standard group and the non-standard group in the last six months and one year, and the outpatient and hospital conditions in the last year, but there was no significant difference between the two groups in drug management and drug supervision. Conclusion: 28. 3% of the schizophrenic patients in rural community in Liuyang city are prescribed drug. The prescriptions of the patients with schizophrenia who had tantrums were lower than those who did not see a doctor every day and did not have dangerous behaviors such as tantrums and punches. Lack of insight, lack of correct understanding of side effects of drugs, lack of family support, and need to be improved community prevention and treatment system are the main reasons for patients not receiving drugs.
【学位授予单位】：中南大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R749.3

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