摘要
目的 分析讨论精神分裂症患者治疗依从性影响因素及干预策略。方法 实验时间显示在2024年8月至2025年8月期间进行,取2024年8月-202年2月期间收治精神分裂症患者40例作为对照组行常规护理,并对患者治疗依从性影响因素进行分析,建立针对性干预策略,取2025年3月-2025年8月期间收治精神分裂症40例患者作为观察组,将针对性干预策略进行临床实践,对相关数据指标进行记录,对比分析结果变化。结果 与对照组相比,观察组患者治疗依从性显著更优,1年后复发率显低,两组数据对比P均<0.05,有可比性。结论 对精神分裂症患者治疗依从性影响因素进行分析,并建立针对性护理对策,更利于提高患者治疗依从性,降低复发风险,对医疗事业的发展显示积极促进作用,值得作为可靠干预策略推广。
关键词: 精神分裂症;治疗依从性;影响因素;干预策略
Abstract
Objective To analyze and discuss the influencing factors of treatment adherence in schizophrenia patients and develop targeted intervention strategies. Methods The study was conducted from August 2024 to August 2025. Forty schizophrenia patients admitted between August 2024 and February 2025 were enrolled as the control group and received routine nursing care. The influencing factors of treatment adherence were analyzed, and targeted intervention strategies were established. Another 40 schizophrenia patients admitted during 2025.3-2025.8 were enrolled as the observation group. The targeted intervention strategies were clinically implemented, and relevant data indicators were recorded for comparative analysis. Results Compared with the control group, the observation group demonstrated significantly better treatment adherence and a markedly lower relapse rate after one year. The P-values for both groups were <0.05, indicating comparability. Conclusion Analyzing the influencing factors of treatment adherence in schizophrenia patients and establishing targeted nursing strategies can effectively improve treatment adherence, reduce relapse risks, and positively contribute to the development of healthcare. These strategies are worthy of promotion as reliable intervention approaches.
Key words: Schizophrenia; Treatment adherence; Influencing factors; Intervention strategies
参考文献 References
[1] 马娟,丁宁,丁木兵. 精神分裂症患者的治疗依从性影响因素分析及对生活质量和生活能力的影响[J]. 海军医学杂志,2024,45(5):521-525.
[2] 黄红艳,张利平,郑玉玲,等. 综合护理干预对住院精神分裂症患者治疗依从性的影响[J]. 疾病预防与控制,2025, 1(6):225-228.
[3] 王锦,孙岩,熊金霞,等. 上海市长宁区精神分裂症患者接受长效可注射抗精神病药物治疗的疗效及依从性影响因素分析[J]. 神经病学与神经康复学杂志,2025,21(4): 295-305.
[4] 张灵慧,陈宇斌,周郁秋,等. 治疗依从性问卷在精神分裂症患者中的信效度及测量等值性检验[J]. 军事护理, 2025, 42(1):50-54.
[5] 陈锡美,陈媛美. 基于述情障碍量表评估的适应性情绪调节策略对精神分裂症康复期患者病耻感及心理状态的影响[J]. 中国医学创新,2024,21(12):78-83.
[6] 陈书喜,刘敏,徐振兴,等. 中青年复发性精神分裂症患者生活质量调查及干预策略分析[J]. 中西医结合护理(中英文),2023,9(1):130-132.
[7] 黄海晓,金玉莲,陈瑶偏,等. 集束化干预策略对女性慢性精神分裂症患者社会功能的影响[J]. 中国急救医学, 2016, 36(z1):46-47.
[8] 曾淑琴,文艳芳,陶宇凡,等. 时效激励理论的干预策略在精神分裂症患者中的应用[J]. 江苏卫生事业管理,2024, 35(10): 1441-1443.
[9] 徐柯柯,曲雨轩. 人文关怀护理对精神分裂症患者负性情绪、自我认知及治疗依从性的影响[J]. 护理实践与研究,2023,20(19):2893-2898.
[10] 高镇松,陈泽华,徐丽缄. 社区精神分裂症患者、家属和精神病防治人员对疾病认知、治疗依从性及社区服务评价的质性研究[J]. 中华行为医学与脑科学杂志,2020, 29(3): 271-276.