出院后继续动机性访谈对康复期精神分裂症治疗依从性的影响

The effect of continuing motivated interview after discharge to the treatment compliance of rehabilitation schizophrenia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(4)
作者
作者单位

大兴区精神病医院门诊部 ;
北京大学第六医院精神科 ;
大兴区精神病医院心理科 ;
大兴区精神卫生保健所 ;
衡水市精神病医院中西医结合科 ;

摘要
【摘要】 研究出院后继续动机性访谈对康复期精神分裂症治疗依从性的影响。方法选取2014 年3月至 2017  年 3 月入住我院的82例精神分裂症患者为研究对象,采用随机数字表法进行分组,实验组41例,对照组41例。两组患者在入院时均接受住院期间的动机性访谈及常规宣教,实验组则在出院后继续动机性访谈,对照组出院后则进行常规电话随访,分别在患者入院时、出院后1个月、3个月、6个月时完成患者的依从性资料收集。结果 两组出院后1个月服药依从性差异无统计学意义(P>0.05)。出院后3个月和6个月时,实验组的服药依从率分别为92.68%和95.12%,明显高于同期的对照组(75.61%,70.73%)(P<0.05);实验组患者在出院后3个月和6个月时服药依从性得分则也显著高于对照组(P<0.05);在患者出院后参加社会活动、按时复诊、复发率、满意率四个方面实验组均显著优于对照组,差异有统计学意义(P<0.05)。结论 出院后继续动机性访谈对康复期精神分裂症患者院外依从性的提高具有重要意义,具有针对性强、易于接受、适宜开展等特点,在提高院外精神分裂症患者依从性方面具有具有更好的远期效果。
Abstract
【 Abstract 】Objective To study the effect of continuing motivational interviewing after discharge to the treatment compliance of rehabilitation schizophrenia. Methods A total of 82 cases of schizophrenia patients were selected in March 2014 to March 2017 in our hospital as the research object, and were divided into the experimental group (41 cases) and the control group (41 cases),using the random number table method, All of the two groups received the motives of hospitalization at the time of admission interview and conventional propaganda and education, while the experimental group continuing motivational interviewing after discharge, the control group with conventional telephone follow-up after discharge, respectively collected compliance data of patients in admitted to hospital and discharged after 1 month, 3 months, 6 months. Results The medication adherence difference of the two groups has no statistical significance in one month after discharge (P > 0.05). 3 months and 6 months after hospital discharge, the medication compliance rate in the experimental group is 92.68% and 95.12%, respectively, significantly higher than the same period in the control group (75.61%, 70.73%) (P < 0.05); Medication adherence score in the experimental group at 3 months and 6 months after discharge was also significantly higher than that of control group (P < 0.05);To participate in social activities, timely follow-up after discharge from hospital, the recurrence rate, and satisfaction in the experimental group were significantly better than the control group, the difference was statistically significant (P < 0.05). Conclusions Continuing motivational interviewing for the compliance of rehabilitation schizophrenia after discharge has great significance, strong pertinence, easy to accept, and suitable to carry out, and has better long-term outcome in improving the compliance of schizophrenia patients outside.
关键词
【关键词】 精神分裂症;动机性访谈;依从性
KeyWord
【Key words】 Schizophrenia; Motivational interviewing; Compliance
基金项目
页码 732-734
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王海娟*,顾伯美, 安敏杰,燕松涛,肖秋霞,赵幸福. 出院后继续动机性访谈对康复期精神分裂症治疗依从性的影响 [J]. 国际精神病学杂志. 2018; 45; (4). 732 - 734.

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