重性精神病患者及其家属病耻感调查与干预
发布时间：2019-05-20 20:07
【摘要】：目的掌握重性精神病患者和家属病耻感的实际情况,探讨减少患者和家属病耻感的有效办法。方法从常住户籍在阳江市阳东县和江城区,参与医院、社区一体化管理,符合中国精神障碍分类与诊断标准第3版(CCMD-3)及重性精神疾病概念范围的2 358例患者中,随机抽出130例患者作为调查干预对象。采取心理行为干预办法,强化家庭内部治疗。采用自拟病耻感调查表观察患者病耻感、服药依从性、家属病耻感,服药依从性按规律、间断、不服药记录。采用SPSS 19.0统计软件比较干预前后观察指标的变化。结果干预前重性精神病患者及家属存在病耻感,分别是86.2%(112/130)和100.0%(130/130)。干预后,患者和家属的中、重度病耻感均明显减少、减轻,差异有统计学意义(P0.01);患者服药依从性改善,差异有统计学意义(P0.01)。结论重性精神病患者及家属病耻感情况严重,应引起各方面重视。对患者和家属进行心理行为干预,强化家庭内部治疗,可明显降低他们的病耻感,提高患者的服药依从性。
[Abstract]:Objective to understand the actual situation of severe psychotic patients and their families' sense of shame, and to explore the effective methods to reduce the sense of shame of patients and their families. Methods from 2358 patients who registered in Yangdong County and Jiangcheng District of Yangjiang City, participated in the integrated management of hospital and community, and met the third edition of Chinese Classification and Diagnostic criteria for Mental Disorder (CCMD-3) and the concept of major mental illness. 130 patients were randomly selected as the subjects of investigation and intervention. Psychological and behavioral intervention should be taken to strengthen family internal treatment. The self-made shame questionnaire was used to observe the patients' shame feeling, drug compliance, family shame feeling, drug compliance according to the law, intermittent, no drug record. SPSS 19.0 statistical software was used to compare the changes of observation indexes before and after intervention. Results before intervention, 86.2% (112 鈮，
本文编号：2481922
[Abstract]:Objective to understand the actual situation of severe psychotic patients and their families' sense of shame, and to explore the effective methods to reduce the sense of shame of patients and their families. Methods from 2358 patients who registered in Yangdong County and Jiangcheng District of Yangjiang City, participated in the integrated management of hospital and community, and met the third edition of Chinese Classification and Diagnostic criteria for Mental Disorder (CCMD-3) and the concept of major mental illness. 130 patients were randomly selected as the subjects of investigation and intervention. Psychological and behavioral intervention should be taken to strengthen family internal treatment. The self-made shame questionnaire was used to observe the patients' shame feeling, drug compliance, family shame feeling, drug compliance according to the law, intermittent, no drug record. SPSS 19.0 statistical software was used to compare the changes of observation indexes before and after intervention. Results before intervention, 86.2% (112 鈮，
本文编号：2481922
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