陈丁玲  肖垚南  陈志明

[摘要] 目的探讨自我药物管理对社区精神分裂症康复患者的应用效果。方法在社区接受康复治疗的120例精神分裂症患者随机分为训练组（60例）和对照组（60例），对照组给予常规护理干预，在此基础上训练组按照《药物自我处置程式》进行分组训练。结果干预后训练组的服药依从、药物管理、症状管理与自我效能评分明显高于对照组，训练组的精神病量表评分明显低于对照组，对比差异明显（P＜0.05）。结论自我药物管理应用于社区精神分裂症患者能是可行、经济、安全有效的，值得推广应用。

[关键词] 自我药物管理；精神分裂症；自我效能

[中图分类号] R749.3   [文献标识码] B   [文章编号] 2095-0616（2014）08-150-03

The application research of self-administration of the drug in patients with community-based rehabilitation

CHEN Dingling  XIAO Yaonan  CHEN Zhiming

Luoding Third People's Hospital in Guangdong Province,Luoding 527200,China

[Abstract] Objective To investigate the effects of self-administration of the drug in patients with community-based rehabilitation. Methods 120 patients with schizophrenia accorded to the order of admission were equally divided into the training group(60 cases) and control group(60 cases), the control group were received routine care interventions, on this basis, the training group were added the "self-medication disposal program". Results The medication compliance, medication management, symptom management and self-efficacy scores of the training group after the intervention were significantly higher, and the psychiatric rating scale scores of the training group were significantly lower than the control group that compared to significant differences(P＜0.05). Conclusion Self-medication management of patients with schizophrenia were applied to communities was feasible, economical, safe and effective that should be widely applied.

[Key words] Self-medication management;Schizophrenia;Self-efficacy

随着人们生活水平的提高和生活方式的改变以及人口老龄化的加剧，我国社区中的精神分裂症患者越来越多[1]。由于我国还缺乏相对系统的康复体系，使得很多社区精神分裂症患者没有得到很好的康复干预。不过当前我国对精神分裂症的发病机理等基础性、调查性研究较多且深入，临床干预多采用药物治疗与非药物治疗[2]。自我管理是指通过患者的行为来保持和增进自身健康，减少疾病对自身情感、社会功能和人际关系的影响，并且能够很好遵医的一种健康行为[3]。其在康复中的应用具有“低水平、广覆盖”的特点，既有良好的成本效益，又能取得合理的应用效果[4]。本文为此具体探讨了自我药物管理对社区精神分裂症康复患者的应用效果，现报道如下。……