作　　者： ; ; ;

机构地区： 重庆市江北区精神卫生中心重庆400025

出　　处： 《四川精神卫生》 2019年第5期422-426,共5页

摘　　要： 目的调查一户多名严重精神障碍患者家庭监护人现状和患者服药依从性的影响因素,为有针对性地对此群体给予精神卫生服务提供参考。方法于2017年11月-2018年5月从国家严重精神障碍管理治疗系统中选取重庆市江北区、沙坪坝区、万州区一户多名严重精神障碍患者家庭110户,采用自制调查表收集患者及其监护人一般人口学资料及患者临床资料、服药情况等。结果①在110户严重精神障碍患者家庭中,无监护人家庭为10户(9.1%),有1名监护人的家庭为84户(76.4%),有2名监护人的家庭为16户(14.5%);②有3名患者的家庭共4户(3.6%),有2名患者的家庭共106户(96.4%);③患者服药依从性与其居住地(r=0.201,P<0.01)、是否与监护人同住(r=0.193,P<0.01)及受教育程度(r=0.370,P<0.01)呈正相关,两名患者服药依从性之间呈正相关(r=0.451,P<0.01);④有序Logistic回归分析显示,是否与监护人同住(OR=-1.14)、小学及以下(OR=20.24)、初中受教育程度(OR=18.94)对患者服药依从性产生影响。结论一户多名严重精神障碍患者之间服药依从性呈正相关,与监护人同住是患者服药依从性的保护因素,患者受教育程度低是服药依从性的危险因素。 Objective To investigate the status of family guardians and influencing factors of medication compliance of patients from the family with more than one severe mental disorder patients,and to provide references for the targeted mental health services for the patients.Methods From November 2017 to May 2018,110 families of more than one patients with severe mental disorder were selected from the national management and treatment system of severe mental disorder in Jiangbei district,Shapingba district and Wanzhou district of Chongqing.The self-made questionnaire was adopted to collected the general demographic data,clinical data and medication compliance.Results①Of the 110 families with severe mental disorder patients,10(9.1%)were unsupervised,84(76.4%)families with 1 guardians,and 16(14.5%)families with 2 guardians.②There were 4(3.6%)families had 3 patients,and 106(96.4%)families had 2 patients.③Medication compliance of the patients was positively correlated with their residence(r=0.201,P<0.01),living with guardians(r=0.193,P<0.01)and education level(r=0.370,P<0.01),and the medication compliance of the two patients in the same family was positively correlated(r=0.451,P<0.01).④Orderly Logistic regression analysis showed that living with the guardian(OR=-1.14),primary education and below(OR=20.24)and junior education level(OR=18.94)would influence patients'medication compliance.Conclusion The medication compliance of patients from families with more than one severe mental disorder patients is positively correlated.Living with guardians may be a protective factor for patients'medication compliance,while low education level may be the risk factor.

关 键 词： 严重精神障碍 现状 监护人 服药依从性

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