目的：探讨精神科门诊服药依从性的现状。方法：采用自制一般资料调查表以及服药依从性量表对精神科门诊309例患者进行调查。结果：精神科门诊40.5%的患者不依从，其中精神分裂症、抑郁症和双相情感障碍中不依从比例分别为35.6%、44.6%和29.3%。曾忘记服药的占46.6%，对药物治疗作用和维持治疗持否定态度的比例分别为54.4%和69.6%。27.4%精神分裂症患者主要因为大意而忘记服药，抑郁症和双相情感障碍身体状况好时忘记服药，比例分别为44.1%和43.9%，停药者所占比例接近。门诊50.8%抑郁症患者对精神科药物治疗态度积极并且32.8%能坚持服药，比例高于其他两种疾病。药物副作用对依从性的负面影响在精神分裂症和双相情感障碍患者中较为明显。结论：调查结果显示精神科门诊患者服药依从性并不乐观，不同疾病影响依从性的因素也有所不同，应该针对不依从性的不同方面采取恰当的干预措施。%Objective:To explore the current condition of the compliance in the psychiatric outpatients.Method:309 psychiatric outpatients were investigated and used General Information Questionnaire and Medication Adherence Rating Scale. Result:The compliance of the psychiatric outpatients was poor,accounting for 40.5%.The rate of no-adherence in schizophrenia, depression and bipolar disorder was respectively 35.6%,44.6% and 29.3%.The rate of which they ever forgot to take medicine was 46.6%,the rates of which the patients think the effect of drug therapy was not good and think the maintenance therapy was useless for 54.4% and 69.6%.27.4% of schizophrenic outpatients forgot to take medicine mainly because of carelessness,the rate of depression and bipolar disorder patients who forgot to take medicine when they were well was respectively 44.1% and 43.9%.The attitude to the treatment of psychiatric drugs was positive in 50.8% of depression patients,and 32.8% of depression patients could insist on taking medicine,the proportion was higher than other two kinds of diseases.The negative impact of the compliance due to drug side effects obvious in patients with schizophrenia and bipolar disorder.Conclusion:The investigation results show that the compliance in psychiatric outpatient is not optimistic,the influencing factors of compliance is also different in different diseases, we should take appropriate intervention measures to different aspects.
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