發(fā)布時間：2019-02-19 18:07

【摘要】：目的：了解農(nóng)村社區(qū)的精神分裂癥患者領(lǐng)藥及服藥情況,描述瀏陽市農(nóng)村社區(qū)精神分裂癥患者領(lǐng)藥規(guī)范性及其特點；探討精神分裂癥患者未領(lǐng)藥的原因及其影響因素； 方法：本研究主要采用了文獻研究、現(xiàn)場調(diào)查及深入訪談法對湖南省瀏陽市農(nóng)村社區(qū)精神分裂癥患者領(lǐng)藥情況進行調(diào)查分析。采用整群隨機抽樣方法,對抽中的4個鄉(xiāng)鎮(zhèn)共計42個行政村被確診為精神分裂癥的391例患者進行領(lǐng)藥及服藥情況問卷調(diào)查,功能狀況評價采用功能大體評定量表(GAF)。 結(jié)果：瀏陽市農(nóng)村社區(qū)的391例精神分裂癥患者在2011-2013年這三年按時領(lǐng)藥率(全年6次領(lǐng)藥)的分別為37.9%、34.8%、43.2%,近五年內(nèi)完全沒有領(lǐng)藥的患者占6.90%。前五位的未領(lǐng)藥原因是不愿意／不舒服才吃藥(23.6%)、忘記／錯過領(lǐng)藥時間(20.6%)、住院(20.1%)、未按醫(yī)囑服藥(19.6%)、自己買藥(14.1%)。領(lǐng)藥規(guī)范組和不規(guī)范組患者在最近半年及一個的領(lǐng)藥情況、最近一年的門診及住院情況等方面存在差異；兩組在藥物管理及督促服藥方面無統(tǒng)計學(xué)意義。 結(jié)論：瀏陽市農(nóng)村社區(qū)精神分裂癥患者有28.3%的人領(lǐng)藥規(guī)范；因發(fā)病就診、未堅持服藥、出現(xiàn)發(fā)脾氣打人的精神分裂癥患者的領(lǐng)藥規(guī)范性低于沒有因發(fā)病就診、每天堅持服藥、未出現(xiàn)發(fā)脾氣打人等危險行為的患者。自知力的缺損、對藥物副作用缺乏正確認(rèn)識、家庭支持的缺少、有待完善的社區(qū)防治體系是患者未領(lǐng)藥的主要原因。
[Abstract]:Objective: to investigate the status of drug collection and medication for schizophrenia patients in rural communities, to describe the prescriptions and characteristics of drug collection for schizophrenia patients in rural communities in Liuyang city, and to explore the causes and influencing factors of patients with schizophrenia. Methods: in this study, literature studies, field investigations and in-depth interviews were used to investigate and analyze the drug application of schizophrenia patients in rural communities in Liuyang City, Hunan Province. Using cluster random sampling method, a total of 391 patients with schizophrenia diagnosed in 42 administrative villages in 4 townships were investigated with a questionnaire. The functional status was evaluated with the General function Assessment scale (GAF). Results: in the three years from 2011 to 2013, 391 schizophrenic patients in the rural community of Liuyang City received the drug on time (6 times a year), respectively, with 37.9% 34.8% and 43.2% respectively. In the last five years, 6.90% of the patients did not receive any medication at all. The first five reasons for not receiving medicine were unwilling / uncomfortable to take medicine (23.6%), to forget / miss the time of getting medicine (20.6%), to hospitalization (20.1%), not to take medicine according to doctor's order (19.6%), to buy medicine by oneself (14.1%). There were differences between the standard group and the non-standard group in the last six months and one year, and the outpatient and hospital conditions in the last year, but there was no significant difference between the two groups in drug management and drug supervision. Conclusion: 28. 3% of the schizophrenic patients in rural community in Liuyang city are prescribed drug. The prescriptions of the patients with schizophrenia who had tantrums were lower than those who did not see a doctor every day and did not have dangerous behaviors such as tantrums and punches. Lack of insight, lack of correct understanding of side effects of drugs, lack of family support, and need to be improved community prevention and treatment system are the main reasons for patients not receiving drugs.
【學(xué)位授予單位】：中南大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R749.3

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