[1]陈兆红,张燕红,祖凤英,等.康复期成年精神障碍患者参与能力对其药物依从性的影响[J].解放军护理杂志,2021,38(03):31-34.[doi:10.3969/j.issn.1008-9993.2021.03.008]
　CHEN Zhaohong,ZHANG Yanhong,ZU Fengying,et al.Does Participation Influence the Medication Adherence among Adults with Mental Disorders during their Rehabilitation?[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(03):31-34.[doi:10.3969/j.issn.1008-9993.2021.03.008]
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康复期成年精神障碍患者参与能力对其药物依从性的影响()
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《解放军护理杂志》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年03期
页码:
31-34
栏目:
研究荟萃
出版日期:
2021-03-15

文章信息/Info

Title:
Does Participation Influence the Medication Adherence among Adults with Mental Disorders during their Rehabilitation?
文章编号:
1008-9993(2021)03-0031-04
作者:
陈兆红1; 张燕红2; 祖凤英1; 金全香1; 季金杰1; 孙利强1
(1.南京医科大学附属脑科医院 精神科,江苏 南京210029; 2.南京医科大学附属脑科医院 护理部)
Author(s):
CHEN Zhaohong1; ZHANG Yanhong2; ZU Fengying1; JIN Quanxiang1; JI Jinjie1; SUN Liqiang1
(1.Psychiatry Department,Nanjing Brain Hospital,Nanjing Medical University,Nanjing 210029,Jiangsu Province,China; 2.Department of Nursing,Nanjing Brain Hospital,Nanjing Medical University)
关键词:
康复期;  精神障碍;  患者参与能力;  药物依从性;  自知力及治疗态度
Keywords:
rehabilitation stage;  mental disorders;  patient participation ability;  medication adherence;  insight and treatment attitude
分类号:
R473.74
DOI:
10.3969/j.issn.1008-9993.2021.03.008
文献标志码:
A
摘要:
目的 了解康复期成年精神障碍患者参与能力对其药物依从性的影响。方法 2019年11月至2020年1月,采用便利抽样方法选择在江苏省南京市某三级甲等精神病院专科医院就诊的195例康复期成年精神障碍患者为研究对象,采用一般资料调查表、药物依从性评定量表(medication adherence rating scale,MARS)、患者参与能力调查问卷(patient participation ability questionnaire,PPAQ)及自知力与治疗态度问卷(insight and treatment attitude questionnaire,ITAQ)对其进行调查。结果 康复期成年精神障碍患者的MARS、PPAQ及ITAQ得分分别为(4.48±1.97)、(102.72±12.71)、(11.89±4.45)分。多因素线性回归分析结果显示,PPAQ、ITAQ、病程是影响患者药物依从性的独立影响因素(均P<0.05)。结论 康复期成年精神障碍患者参与能力、自知力与治疗态度、病程是患者药物依从性的独立影响因素; 管理者可采取针对性的策略改善患者的参与能力,提高其对疾病的自知力与治疗态度,从而提升药物依从性,降低疾病的复发率。
Abstract:
Objective To explore the effects of participation on medication adherence among adults with mental disorders during their rehabilitation.Methods Convenient sampling was used to select 195 adults with mental disorders during their rehabilitation who visited a tertiary psychiatric hospital in Nanjing City,Jiangsu Province from November,2019 to January,2020.The general information questionnaire,the Medication Adherence Rating Scale(MARS),the Patient Participation Ability Questionnaire(PPAQ),and the Insight and Treatment Attitude Questionnaire(ITAQ)were used for investigation.Results The MARS score,the PPAQ score and the ITAQ score were(4.48±1.97),(102.72±12.71),(11.89±4.45),respectively among adults with mental disorders dursing their rehabilitation.Multiple linear regression analysis showed that the PPAQ score,the ITAQ score and the course of disease were independent influencing factors of patients’ medication adherence(all P<0.05).Conclusions Participation ability,insight and treatment attitude,and the course of disease are independent influencing factors of medication adherence among adults with mental disorders dursing their rehabilitation.Managers can take targeted strategies to improve patients’ participation ability,and promote their insight and treatment attitude to disease,so as to enhance their medication adherence and reduce the recurrence rate of disease.

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备注/Memo

备注/Memo:
【 收稿日期 】 2020-11-09 【 修回日期 】 2021-03-04
【 基金项目 】 江苏省卫生和计划生育委员会医学科研课题(N2017006)
【 作者简介 】 陈兆红,本科,主任护师,从事精神疾病护理研究
【 通信作者 】 张燕红,电话:025-82296312
更新日期/Last Update: 2021-03-15