综合康复技能训练对精神分裂症患者服药依从性及疾病负担的影响

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摘要目的探讨综合康复技能训练对精神分裂症患者服药依从性及疾病负担的影响。方法选取2019年6月—2020年3月重庆市巴南区精神卫生中心收治的60 例精神分裂症患者作为研究对象，按照随机数字表法分为研究组（30 例）与对照组（30 例）。研究组患者接受综合康复技能训练干预，对照组患者接受常规精神分裂症健康宣教指导服务；每周2 次，每次2 小时，干预6 个月。两组在干预前及干预6 个月后分别采用服药依从性量表、家庭疾病负担量表评估并比较两组的服药依从性，家庭疾病负担。结果干预前两组服药依从性与家庭疾病负担评分比较，差异无统计学意义（P＞0.05）。干预后，研究组服药依从性高于本组干预前，且研究组高于对照组，差异有统计学意义（P＜0.05）。干预后，研究组家庭疾病负担低于对照组，且低于本组干预前，差异有统计学意义（P＜0.05）。结论综合康复技能训练与健康宣教比较，可以改善精神分裂症患者的服药依从性，降低家庭疾病负担。

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关键词 ：精神分裂症, 服药依从性, 家庭疾病负担, 综合康复技能训练

Abstract：Objective To investigate the effects of comprehensive rehabilitation skills training on medication compliance and disease burden in patients with schizophrenia. Methods A total of 60 schizophrenic patients who were admitted to Ba′nan District Mental Health Center of Chongqing from June 2019 to March 2020 were selected as the research subjects. According to the random number table method, they divided into the study group (30 patients) and the control group (30 patients). Patients in the study group were treated with comprehensive rehabilitation skill training intervention, and patients in the control group were treated with routine health education and guidance services for schizophrenia. The intervention was conducted for 2 hours twice a week for 6 months. Before intervention and 6 months after intervention, the medication compliance scale and family burden of disease scale were used to evaluate and compare medication compliance and family burden of disease between the two groups. Results There were no significant differences were observed in the scores of the medication compliance and the family burden of disease between the two groups before intervention (P>0.05). After the intervention, the drug compliance score of the study groups was higher than that before intervention in this group, and the drug compliance score of the study group was higher than that of the control group, with the statistically significant difference (P<0.05). After the intervention, the family burden of disease score of the study group was lower than that of the control group, and the family burden of disease score of the study groups was lower than that before intervention in this group, with the statistically significant difference (P<0.05). Conclusion Compared with health education, comprehensive rehabilitation skill training can improve the medication compliance of patients with schizophrenia and reduce the family burden of disease.

Key words： Schizophrenia Medication compliance Family burden of disease Comprehensive rehabilitation skill training

引用本文:

邓荣；杨维红. 综合康复技能训练对精神分裂症患者服药依从性及疾病负担的影响[J]. 中国当代医药, 2021, 28(21): 62-65.
DENG Rong； YANG Wei-hong. Effects of comprehensive rehabilitation skills training on medication compliance and disease burden in patients with schizophrenia. 中国当代医药, 2021, 28(21): 62-65.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2021/V28/I21/62

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