《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (9): 858-860.

• 论文 • 上一篇    下一篇

再住院精神分裂症患者的药物维持治疗状况及影响因素

张大光，顾小静，唐利荣，郭俊花，王久英，马辛，吴淑华，蔡璐，晁为铭，黄青，翁永振，张文强，封砚村，向应强   

  1. 首都医科大学附属北京安定医院，北京市100088
  • 收稿日期:2012-03-02 修回日期:2012-05-18 出版日期:2012-09-25 发布日期:2012-09-25
  • 通讯作者: 封砚村、向应强

Situation and Related Factors of Maintenance Medication Treatment in Schizophrenic Patients Re-hospitalized for Relapse

ZHANG Da-guang, GU Xiao-jing, TANG Li-rong, et al   

  1. Beijing Anding Hospital, Capital Medical University, Beijing 100088, China
  • Received:2012-03-02 Revised:2012-05-18 Published:2012-09-25 Online:2012-09-25

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被引次数

6

摘要： 目的探讨因病情复发再住院的精神分裂症患者药物维持治疗状况及影响其药物维持治疗时间的相关因素。方法用影响药物维持治疗相关因素调查表，对362 例复发住院的精神分裂症患者及其家属进行调查。结果2 年内自行停药者约占63.8%，自行停药与低量维持者之和约占84.9%，约7.7%的患者足量服药维持治疗。Logistic 回归分析显示，自知力(OR=2.2144, P=0.001)、家庭照管(OR=4.8842, P=0.025)、出院疗效(OR=2.2056, P=0.007)、负性生活事件(OR=0.4529, P=0.003)是药物维持治疗时间的相关因素。结论精神分裂症患者出院后常因疾病自知力差、家庭照管能力不足、住院时治疗效果不好和负性生活事件影响而自行减药或停药，导致疾病复发再住院。

关键词: 精神分裂症, 复发, 再住院, 药物维持治疗

Abstract: Objective To survey the situation and related factors of maintenance medication treatment in schizophrenic patients re-hospitalized for relapse. Methods 362 patients re-admitted with schizophrenia and their relatives were interviewed with questionnaire which included 16 factors that might affect maintenance medication treatment. Results 63.8% patients stopped medication and 21.1% patients were on low-dose maintenance medication treatment by themselves, while 7.7% patients were on reasonable dose anti-psychotics in 2 years. The time of maintenance medication treatment related with insight (OR=2.2144, P=0.001), family care (OR=4.8842, P=0.025), outcomes of treatment (OR=2.2056, P=0.007) and negative life events (OR=0.4529, P=0.003). Conclusion Schizophrenic patients re-admitted with relapse often withdraw or reduce their medication by themselves, which risked with poor insight, poor therapeutic effect, poor care from their family, and more negative life events

Key words: schizophrenia, relapse, re-hospitalization, maintenance medication therapy