精神分裂症患者药物依从性相关影响因素分析
Analysis of variables affecting drug compliance in schizophrenia.
作者信息
Ansari Shakeel, Mulla Shakila
机构信息
Department of Psychiatry, Jhalawar Medical College, Jhalawar, Rajasthan, India.
Department of Community Medicine, Jhalawar Medical College, Jhalawar, Rajasthan, India.
出版信息
Ind Psychiatry J. 2014 Jan;23(1):58-60. doi: 10.4103/0972-6748.144968.
CONTEXT
As compliance of the patient during management of schizophrenia is crucial, the current study was conducted to find out the factors that affected compliance.
AIMS
The aim of the study was to analyze the prevalence of noncompliance and to find out different factors affecting compliance in schizophrenic patients.
MATERIALS AND METHODS
Observational cross-sectional study was conducted on 100 adult schizophrenic patients. Noncompliance was assessed using the rating of medication influence (ROMI) scale. Severity of illness was measured using positive and negative syndrome scale (PANSS).
RESULTS
Prevalence of noncompliance was 37%. Using ROMI scale; positive relationship with psychiatrist, family pressure for taking medications, stigma, and substance abuse were found to be significant factors. Severity of illness was also found as determining factor.
CONCLUSION
To improve the compliance in schizophrenia patients, roles of both psychiatrists and family members are crucial.
背景
由于在精神分裂症治疗过程中患者的依从性至关重要，因此开展了本研究以找出影响依从性的因素。
目的
本研究的目的是分析不依从的发生率，并找出影响精神分裂症患者依从性的不同因素。
材料与方法
对100名成年精神分裂症患者进行了观察性横断面研究。使用药物影响评定（ROMI）量表评估不依从情况。使用阳性和阴性症状量表（PANSS）测量疾病严重程度。
结果
不依从的发生率为37%。使用ROMI量表；发现与精神科医生的积极关系、家人要求服药的压力、耻辱感和药物滥用是显著因素。疾病严重程度也是决定因素。
结论
为提高精神分裂症患者的依从性，精神科医生和家庭成员的作用都至关重要。
Zotero 插件