Diamond R J
J Clin Psychiatry. 1983 Jun;44(6 Pt 2):7-14.
Practical strategies for increasing schizophrenic outpatients' compliance with medication are outlined in detail. The strategies are based on the assumptions that (1) interventions which encourage patients to take control of their lives are good in both a moral and clinical sense, (2) schizophrenics, like all people, want to feel as good as possible, (3) fighting a losing battle with a patient regarding medication is counterproductive unless the fight makes some larger strategic sense. Specific approaches range from simply being sure to ask about compliance to involving the patient's family and extended support network in such efforts.
本文详细概述了提高精神分裂症门诊患者药物治疗依从性的实用策略。这些策略基于以下假设:(1)鼓励患者掌控自己生活的干预措施在道德和临床意义上都是有益的;(2)精神分裂症患者和所有人一样,都希望感觉尽可能良好;(3)除非这场斗争具有更大的战略意义,否则与患者就药物治疗进行一场必输的斗争是适得其反的。具体方法从简单地确保询问依从性到让患者的家人和扩展支持网络参与此类努力不等。