發(fā)布時(shí)間：2019-05-20 20:07

【摘要】：目的掌握重性精神病患者和家屬病恥感的實(shí)際情況,探討減少患者和家屬病恥感的有效辦法。方法從常住戶籍在陽江市陽東縣和江城區(qū),參與醫(yī)院、社區(qū)一體化管理,符合中國(guó)精神障礙分類與診斷標(biāo)準(zhǔn)第3版(CCMD-3)及重性精神疾病概念范圍的2 358例患者中,隨機(jī)抽出130例患者作為調(diào)查干預(yù)對(duì)象。采取心理行為干預(yù)辦法,強(qiáng)化家庭內(nèi)部治療。采用自擬病恥感調(diào)查表觀察患者病恥感、服藥依從性、家屬病恥感,服藥依從性按規(guī)律、間斷、不服藥記錄。采用SPSS 19.0統(tǒng)計(jì)軟件比較干預(yù)前后觀察指標(biāo)的變化。結(jié)果干預(yù)前重性精神病患者及家屬存在病恥感,分別是86.2%(112/130)和100.0%(130/130)。干預(yù)后,患者和家屬的中、重度病恥感均明顯減少、減輕,差異有統(tǒng)計(jì)學(xué)意義(P0.01);患者服藥依從性改善,差異有統(tǒng)計(jì)學(xué)意義(P0.01)。結(jié)論重性精神病患者及家屬病恥感情況嚴(yán)重,應(yīng)引起各方面重視。對(duì)患者和家屬進(jìn)行心理行為干預(yù),強(qiáng)化家庭內(nèi)部治療,可明顯降低他們的病恥感,提高患者的服藥依從性。
[Abstract]:Objective to understand the actual situation of severe psychotic patients and their families' sense of shame, and to explore the effective methods to reduce the sense of shame of patients and their families. Methods from 2358 patients who registered in Yangdong County and Jiangcheng District of Yangjiang City, participated in the integrated management of hospital and community, and met the third edition of Chinese Classification and Diagnostic criteria for Mental Disorder (CCMD-3) and the concept of major mental illness. 130 patients were randomly selected as the subjects of investigation and intervention. Psychological and behavioral intervention should be taken to strengthen family internal treatment. The self-made shame questionnaire was used to observe the patients' shame feeling, drug compliance, family shame feeling, drug compliance according to the law, intermittent, no drug record. SPSS 19.0 statistical software was used to compare the changes of observation indexes before and after intervention. Results before intervention, 86.2% (112 鈮，

本文編號(hào)：2481922