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社区卫生服务中心贫困精神病患者免费服药的治疗效果随访分析 被引量:20

Follow- up of Effects of Free Medication for Poverty- stricken Psychiatric Patients in Community Health Service Center
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摘要 目的探讨免费服药对社区贫困精神病患者的治疗效果。方法对35例社区贫困精神病患者免费服药前后3年的用药依从性、病情稳定性及社会功能进行比较,分析免费服药的治疗效果。结果免费服药1、2年后与服药前相比患者服药依从性差异有统计学意义(P=0.05),趋势性检验结果表明免费服药后患者服药依从性逐年提高(P<0.01)。免费服药前与服药1、2年后相比患者病情稳定情况差异无统计学意义(P>0.05),趋势性检验表明免费服药后患者病情稳定状况逐年好转(P<0.05)。除社会交往因素外,其他社会功能因素较服药前改善,差异均有统计学意义(P<0.05)。结论免费服药有助于贫困精神病患者进行正规系统治疗,提高其生活质量。 Objective To evaluate the effect of free medication for poverty - stricken patients with mental disorders from our community. Methods Totally 35 patients with mental disorders in poverty from the community were enrolled. They were given 3 - year free medication. The conditions of therapy compliance, state of illness, and function of society were compared be- fore and after the therapy, and the effect was also evaluated. Results The patients' compliance to the therapy was significantly higher one or two years after the medication than before ( P = 0.05). Tendency test reported that patients' compliance was im- proved year by year (P 〈0.01 ). No significant difference was found in stability of disease condition one or two years after the medication as compared with before the medication (P 〉 0. 05), however, tendency test showed that disease condition had be- come better year by year (P 〈 0. 05 ). Except for social communication, other social functions improved significantly ( P 〈 0.05) . Conclusion The free medication helps to provide a standard and systemic therapy for poverty - stricken patients with mental disorders and improve their life quality.
出处 《中国全科医学》 CAS CSCD 北大核心 2013年第28期3376-3378,共3页 Chinese General Practice
关键词 精神病 贫困 免费服药 治疗结果 Psychotic disorders Poverty Free drug distribution Treatment outcome
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