Blake D D, Owens M D, Keane T M
Boston Veterans Administration Medical Center, MA 02130.
J Behav Ther Exp Psychiatry. 1990 Mar;21(1):15-20. doi: 10.1016/0005-7916(90)90044-l.
Compliance is a critical factor for success in the treatment of chronic psychiatric patients. Major reasons for therapeutic failure are that patients discontinue their medications, fail to keep therapist appointments, or do not participate in recommended psychosocial activities. An alternating treatments design was employed to assess the use of verbal instructions and feedback to promote group attendance on a psychiatric unit. Results showed these methods served to significantly increase group attendance but had no significant effect on patient satisfaction. These results are discussed with regard to cost-efficient methods for promoting treatment compliance with psychiatric inpatients.
依从性是慢性精神病患者治疗成功的关键因素。治疗失败的主要原因是患者停止用药、未能按时就诊或不参与推荐的心理社会活动。采用交替治疗设计来评估使用口头指导和反馈以促进精神科病房的团体治疗参与度。结果显示，这些方法显著提高了团体治疗参与度，但对患者满意度没有显著影响。针对促进精神病住院患者治疗依从性的经济有效方法对这些结果进行了讨论。
