%0 Journal Article
%T 认知行为干预对停药复发精神分裂症患者服药依从性的影响<br>Effect of Cognitive Behavioral Intervention on Medication Compliance of Patients with Drug Withdrawal and Recurrent Schizophrenia
%A 徐卫国
%A 王慧
%A 周倩
%A 胡学福
%A 王亚伟
%J Advances in Psychology
%P 900-904
%@ 2160-7281
%D 2022
%I Hans Publishing
%R 10.12677/AP.2022.123107
%X 目的：分析认知行为干预对停药后复发精神分裂症患者服药依从性的影响。方法：选择180例因停药复发的精神分裂症患者，分为观察组和对照组，每组90例。对照组给予常规干预，观察组在对照组的基础上给予认知行为干预。比较两组干预前后的疾病康复效果评分和服药依从性效果。结果：干预前两组患者的疾病康复评分和服药依从性无显著性差异(P &gt; 0.05)；连续干预8周后，观察组的焦虑抑郁、缺乏活力、敌对猜疑、易怒和思维障碍的得分和总分均低于对照组(t = 5.373, 6.055, 4.235, 9.841, 6.109, 15.356, P &lt; 0.05)。持续干预8周后，观察组患者药物依赖性为完全依从性50例，部分依从性23例，不依从性17例，对照组患者药物依赖性为完全依从性14例，40例部分依从，36例不依从。观察组患者的药物依赖性优于对照组。两组之间的差异具有统计学意义(U = 9.586, P &lt; 0.05)。结论：认知行为干预能提高精神分裂症患者的服药依从性，促进其早期康复，有效预防复发。<br />
Objective: To analyze the effect of cognitive behavior intervention on medication compliance of schizophrenic patients with relapse after drug withdrawal. Methods: 180 patients with first-episode schizophrenia were divided into observation group and control group according to cognitive behavior intervention and non-cognitive behavior intervention, 90 patients in each group. Patients in the control group were given routine intervention, and patients in the observation group were given cognitive behavioral intervention on the basis of the control group. The disease rehabilitation effect score and medication compliance effect evaluation before and after intervention were compared between the two groups. Results: There were no statistically significant differences between the two groups in disease recovery scores and medication compliance before intervention (P &gt; 0.05). After 8 weeks of continuous intervention, the scores of anxiety, depression, lack of vitality, hostility, suspicion, irritability, and thinking disorder in the observation group were all lower than those in the control group, with statistically significant differences (t = 5.373, 6.055, 4.235, 9.841, 6.109, 15.356, P &lt; 0.05). 8-week continuous intervention later, the medication dependence of the observation group patients is: fully compliance 50 cases, partial compliance 23 cases, non-compliance 17 cases; control group patients taking medicine dependence is: fully compliance 14 cases, partial compliance 40 cases, non-compliance 36 cases. The observation group patients’ medication compliance dependence was better than that of the control group, and the differences between the two groups had statistical significance (U = 9.586, P &lt; 0.05). Conclusion: Cognitive behavioral intervention can improve medication compliance, promote early recovery and effectively prevent patients’ relapse with first-episode schizophrenia.
%K 复发，精神分裂症，服药依从性<br>Relapse
%K Schizophrenia
%K Medication Compliance
%U http://www.hanspub.org/journal/PaperInformation.aspx?PaperID=49620