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精神病患者对治疗的依从性:一项实证研究。

Adherence to therapy in psychiatric patients: an empirical investigation.

作者信息

Youssef F A

出版信息

Int J Nurs Stud. 1984;21(1):51-7. doi: 10.1016/0020-7489(84)90007-5.

Abstract

Patient adherence, i.e. the extent to which a patient's behavior, in terms of taking medications and keeping scheduled appointments, has been demonstrated to be essential for the successful treatment of various psychiatric disorders. The purpose of this study was to assess the impact of patient education on patient compliance to psychotropic medication after discharge from hospital. A sample of 36 psychiatric patients discharged from an inpatient care facility and receiving an oral form of psychotropic drug were the subjects of this study. Subjects were randomly assigned to two groups: a control group; and a directive patient education group. The subjects were followed up after discharge for a 6-month period. In analyzing the data, results indicated that the difference in percentage of compliance between the two groups was statistically significant. Findings imply that patient education did have an effect on patient compliance to medication. The findings of the study support a technique that can be incorporated in both in-patient and out-patient programs in psychiatric mental health facilities. It would increase patient compliance to medication and hence decrease chances of rehospitalization.

摘要

患者依从性,即患者在服药和按时就诊方面的行为被证明对各种精神疾病的成功治疗至关重要的程度。本研究的目的是评估患者教育对出院后患者服用精神药物依从性的影响。本研究的对象是36名从住院护理机构出院并接受口服精神药物治疗的精神病患者。受试者被随机分为两组:对照组和指导性患者教育组。出院后对受试者进行了为期6个月的随访。在分析数据时,结果表明两组之间的依从率差异具有统计学意义。研究结果表明患者教育确实对患者的服药依从性有影响。该研究结果支持一种可纳入精神心理健康机构住院和门诊项目的技术。这将提高患者的服药依从性,从而降低再次住院的几率。

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