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影响成年精神分裂症患者药物依从性的因素:文献综述

Factors Affecting Medication Adherence Among Adults with Schizophrenia: A Literature Review.

作者信息

Tham Xiang Cong, Xie Huiting, Chng Cecilia Mui Lee, Seah Xin Yi, Lopez Violeta, Klainin-Yobas Piyanee

机构信息

Institute of Mental Health, Singapore.

Institute of Mental Health, Singapore.

出版信息

Arch Psychiatr Nurs. 2016 Dec;30(6):797-809. doi: 10.1016/j.apnu.2016.07.007. Epub 2016 Jul 14.

Abstract

This review aimed to summarize empirical evidence concerning factors relating to medication adherence among patients with schizophrenia. A comprehensive search was implemented to recruit articles which met the present eligibility criteria. Twenty-five articles were included whereby only one was a qualitative study. Greater awareness of illness (insight), previous history of medication adherence, positive attitude toward medication, types of atypical antipsychotics, less severe psychotic symptoms, and social support were identified as factors of medication adherence. Knowledge gaps and methodological limitations were also identified. Implications to clinical practice include providing psychoeducation to patients by increasing their knowledge about illness and medication.

摘要

本综述旨在总结有关精神分裂症患者药物依从性相关因素的实证证据。开展了全面检索以纳入符合当前纳入标准的文章。共纳入25篇文章,其中仅有1篇为定性研究。对疾病的更高认知(洞察力)、既往药物依从史、对药物的积极态度、非典型抗精神病药物类型、较轻的精神病症状以及社会支持被确定为药物依从性的因素。还发现了知识空白和方法学局限性。对临床实践的启示包括通过增加患者对疾病和药物的了解为其提供心理教育。

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