Medication Compliance and Health Education Among Outpatients With Chronic Mental Disorders
Medication Compliance and Health Education Among Outpatients With Chronic Mental Disorders
复制标题
门诊慢性精神障碍患者用药依从性及健康教育
DOI：
10.1097/00005650-199012000-00006
复制
发表时间：
1990
期刊：
影响因子：
3
通讯作者：
Jack E. Scott
中科院分区：
文献类型：
--
作者：
G. R. Kelly;Jack E. Scott
在所有内科和精神科门诊病人中，有三分之一到二分之一的人出现用药不依从的情况。不依从对被诊断为精神分裂症的个体有严重的后果，通常导致更高的复发率和再住院率，以及更差的社区适应。健康教育干预措施已被证明是有效的，以促进慢性内科疾病，如高血压或糖尿病患者的依从性，但很少有这种方法在慢性精神疾病患者的随机试验。本文介绍了健康教育在一组男性精神科门诊病人中的应用结果。开发了两种干预措施，使用健康教育技术，1）使家庭或重要他人积极参与善后过程，2）培训患者成为有效的医疗保健消费者。共有418人参加了为期四年的为期六个月的试验。这两种干预措施都显着提高了接受者的服药依从性。结果表明，相对简单的干预可以显著改变慢性精神疾病患者的服药依从性行为，提高患者的生活质量。
Medication noncompliance occurs among as many as one-third to one-half of all medical and psychiatric outpatients. Noncompliance has serious consequences for individuals diagnosed with schizophrenia, often resulting in higher rates of relapse and rehospitalization, and poorer community adjustment. Health education interventions have been shown to be effective in promoting compliance among patients with chronic medical illnesses such as hypertension or diabetes, but there have been few randomized trials of this approach among patients with chronic psychiatric disorders. This paper presents the results of an application of health education among a group of male psychiatric outpatients. Two interventions were developed which used health education techniques to 1) engage families or significant others as active participants in the aftercare process, and 2) train patients to become effective health care consumers. A total of 418 individuals participated in a six-month trial over a four-year study. Both interventions significantly improved medication compliance among those who received them. The results show that comparatively brief interventions can significantly alter medication compliance behavior and improve the quality of life for patients with chronic psychiatric disorders.