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内化耻辱感对精神分裂症患者治疗依从性的影响。

The Effect of Internalized Stigma on the Adherence to Treatment in Patients With Schizophrenia.

作者信息

Yılmaz Emine, Okanlı Ayşe

机构信息

Department of Psychiatric Nursing, Faculty of Health Sciences, Ataturk University, 25100, Erzurum, Turkey.

Department of Psychiatric Nursing, Faculty of Health Sciences, Ataturk University, 25100, Erzurum, Turkey.

出版信息

Arch Psychiatr Nurs. 2015 Oct;29(5):297-301. doi: 10.1016/j.apnu.2015.05.006. Epub 2015 Jun 4.

Abstract

This study was conducted to determine the effect of internalized stigma on the adherence to the treatment of patients with schizophrenia. The population of the study consisted of patients who were diagnosed with schizophrenia according to the DSM IV diagnostic criteria and compatible with the study criteria. The study was completed with 63 patients overall. The researcher used Demographics Questionnaire, Morisky Medication Adherence Scale, Drug Attitude Inventory and Internalized Stigma of Mental Illness Scale to gather data. Among the patients, 11.1% adhered to the treatment, and 54.0% did not. The mean score for the internalized stigma level of patients was 76.39±14.30. A positive significant relationship was found among the scales (p<0.05). The level of internalized stigma of patients with schizophrenia was determined to be high, and the internalized stigma had a negative impact on the adherence and attitude toward the treatment.

摘要

本研究旨在确定内化耻辱感对精神分裂症患者治疗依从性的影响。研究对象为根据《精神疾病诊断与统计手册》第四版诊断标准被诊断为精神分裂症且符合研究标准的患者。该研究共纳入63例患者。研究者使用人口统计学问卷、Morisky药物治疗依从性量表、药物态度量表和精神疾病内化耻辱感量表来收集数据。在患者中,11.1%坚持治疗,54.0%未坚持治疗。患者内化耻辱感水平的平均得分为76.39±14.30。各量表之间存在显著正相关(p<0.05)。精神分裂症患者的内化耻辱感水平较高,且内化耻辱感对治疗依从性和治疗态度有负面影响。

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