Rechlin T, Luderer H J
Psychiatrische Klinik mit Poliklinik, Erlangen.
Psychiatr Prax. 1990 Jul;17(4):156-9.
In 65% of the rehabilitation wards on Bavarian psychiatric hospitals, medication is not distributed by nurses but is collected by the patients in the nurses' room. For 159 patients, data on their reliability in this procedure were obtained. Patients generally come for their medication with considerable reliability. Patients suffering from schizophrenia were unreliable during the first week of treatment. During the last week of treatment, however, their reliability improved. The improvement of reliability was high for patients of higher education, productive psychotic symptoms at the beginning of the treatment, good response to neuroleptic medication, or first manifestation of the disease. The system of patients coming for their medication is a method of training self-responsible medication intake. The reliability of the patients' participation can be interpreted as a measure of their compliance.
在巴伐利亚精神病医院65%的康复病房中，药品不是由护士分发，而是由患者在护士室领取。我们收集了159名患者在这一过程中的可靠性数据。患者通常相当可靠地前来领取药品。精神分裂症患者在治疗的第一周不可靠。然而，在治疗的最后一周，他们的可靠性有所提高。对于受过高等教育、治疗开始时有明显精神病症状、对神经安定药物反应良好或首次发病的患者，可靠性提高幅度较大。患者自行领取药品的制度是一种培养自我负责服药的方法。患者参与的可靠性可以被解释为他们依从性的一种衡量标准。
