中国全科医学Issue(13)：1551-1553,3.DOI:10.3969/j.issn.1007-9572.2014.13.026
重性精神病患者及其家属病耻感调查与干预
Severe Mental Illness Stigma Investigation and Intervention
林慧 1叶方俏 1梁祖光 1梁飘 1刘崇欢 1李秋莲 1刘忠发 1肖龙 1陈书华 1余岳要1
作者信息
摘要
Abstract
Objective This paper describes the situation of patients and their family′s stigma and researches for effec-tive methods of reducing the stigma of them. Methods Among 2 358 patients in Yangjiang City,Yangdong County and Jiangcheng District,who meet the standards of CCMD - 3 and the concept of major psychosis by National Health and Family Plan-ning Commission of the People′s Republic of China,130 patients were investigated and intervened in patients and their family′s stigma and medication compliance by self - prepared stigma questionnaire. Medication compliance was observed by the records of taking the drug contiguously,discontiguously or rejecting taking the drug. Psychological and behavioral intervention was adopted to strengthen the internal family therapy. And SPSS 19. 0 statistical software was used to observe the variations before and after in-tervention. Results The result showed that most patients and their family felt shame,respectively 86. 2% (112 / 130)and 100. 0% (130 / 130). After intervention,most moderate and sever psychotics and their family′ stigma was obviously reduced (average P ﹤ 0. 01). Medication compliance of patients was significantly improved(P ﹤ 0. 01). Conclusion The authors sug-gest that the austere situation of the severe mental illness patients and their family should arouse public attention. Also,intervene in the patients and their family′s psychological behavior can not only considerately reduce their stigma,but also improve their drug compliance.关键词
重性精神病/病耻感/服药依从性/心理行为干预Key words
Major psychosis/Stigma/Medication compliance/Psychological and behavioral intervention分类
医药卫生引用本文复制引用
林慧,叶方俏,梁祖光,梁飘,刘崇欢,李秋莲,刘忠发,肖龙,陈书华,余岳要..重性精神病患者及其家属病耻感调查与干预[J].中国全科医学,2014,(13):1551-1553,3.
