Levin S, Brekke J S, Thomas P
School of Social Work, University of Southern California, Los Angeles 90089-0411.
Bull Am Acad Psychiatry Law. 1991;19(2):161-71.
Involuntarily hospitalized psychiatric patients consecutively admitted over a six-month period who successfully refused medication (n = 37) are compared with a randomly selected group of medication-accepting patients committed during the same time period (n = 37). The overall refusal rate was 15.6 percent during the study period. Acceptors and refusers did not differ on age, sex, diagnosis, ethnicity, marital status, or preadmission living status. Differences between the groups indicate that refusers are sicker and lower functioning, are more behaviorally acute on the ward, and stay in the hospital twice as long as acceptors. Refusers also have a significantly negative impact on the overall ward milieu. The impact of institutional factors on the rate and outcome from mediation refusal are discussed.
对连续6个月内非自愿住院且成功拒绝服药的精神科患者（n = 37）与同期随机选取的接受服药治疗的患者（n = 37）进行比较。研究期间的总体拒绝率为15.6%。接受者和拒绝者在年龄、性别、诊断、种族、婚姻状况或入院前生活状况方面无差异。两组之间的差异表明，拒绝服药者病情更严重、功能更低，在病房行为上更急性，住院时间是接受者的两倍。拒绝服药者也对整个病房环境有显著的负面影响。文中讨论了机构因素对药物拒绝率和结果的影响。
