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精神分裂症的家庭干预:非依从性分析

Family interventions in schizophrenia: an analysis of non-adherence.

作者信息

Montero I, Asencio A P, Ruiz I, Hernández I

机构信息

Department of Psychiatry, University of Valencia, Spain.

出版信息

Acta Psychiatr Scand. 1999 Aug;100(2):136-41. doi: 10.1111/j.1600-0447.1999.tb10834.x.

Abstract

OBJECTIVE

The aim of this study was to identify baseline factors which may make it possible to predict non-adherence to prescribed treatment.

METHOD

A total of 87 schizophrenic patients in a catchment area of Valencia (Spain) were randomly assigned to two family strategies. The characteristics associated with lack of adherence to the programmes were analysed in both the patients and their families.

RESULTS

Older patients, those with a higher number of previous hospital admissions, those living in small households and those having relatives with little knowledge of schizophrenia at the time of the initial assessment were the main factors associated with a higher risk of dropping out of the interventions.

CONCLUSIONS

The findings of this study offer some guidance on suggesting intervention strategies that might reduce drop-out rates in these types of programmes.

摘要

目的

本研究旨在确定可能有助于预测不遵医嘱治疗的基线因素。

方法

在西班牙巴伦西亚的一个集水区,共87名精神分裂症患者被随机分配到两种家庭策略中。对患者及其家庭中与不遵守治疗方案相关的特征进行了分析。

结果

年龄较大的患者、既往住院次数较多的患者、生活在小家庭中的患者以及在初次评估时亲属对精神分裂症了解较少的患者,是与干预退出风险较高相关的主要因素。

结论

本研究结果为提出可能降低这类治疗方案退出率的干预策略提供了一些指导。

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