摘要
目的探讨医患共同决策诊疗模式对社区精神障碍患者服药依从性及临床疗效的影响。方法选取2015年5月‐2016年4月住院后转回社区的42例精神障碍康复期患者为研究对象,以随机数字表法分组,观察组与对照组各21例,对照组接受常规治疗方案,观察组在治疗过程中,由患者及其家属全程参与决策治疗方案,观察两组患者疗效与服药依从性。结果治疗前,两组患者简明精神病评定量表(BPRS)及社会功能缺陷量表(SDSS)评分差异无统计学意义(P>0.05),治疗后6个月、1年时,两组患者评分均有下降,观察组BPRS、SDSS评分与对照组比较差异有统计学意义(P<0.05);观察组患者治疗依从率为95.24%,对照组为71.43%,两组差异有统计学意义(P<0.05)。结论医患共同决策诊疗模式可有效增强社区精神障碍患者服药依从性,提高临床疗效,值得推广。
[Objective] To probe into the diagnosis and treatment mode of joint decision-making between doctors and patients on the medication compliance, clinical effects for community patients with psychiatric disorders. [Methods] Forty-two patients with psychiatric disorders who treated in the community after leaving hospital from May 2015 to April 2016 were selected as the research objects, and were grouped into the observation group and the control group by the random number table method, with 21 cases in each group. The control group was received conventional treatment, while in the observation group, patients and their families participated in the whole treatment decision-making process. The curative effect and medication compliance of the two groups were observed. [Results] Before treatment, there was no significant difference between the two groups in the Brief Psychiatric Rating Scale （BPRS） and the Social Function Deficit Scale （SDSS） （P 〉0.05）; 6 months and 1 year after treatment, the scores of the two groups decreased, and the differences in BPRS and SDSS scores between the observation group and the control group were statistically significant （P 〈0.05）; the treatment compliance rate was 95.24% in the observation group and 71.43% in the control group, the difference between the two groups was statistically significant （P 〈0.05）. [Conclusion] The mode of diagnosis and treatment of joint decision-making can effectively improve the compliance of community patients with psychiatric disorders and improve the clinical efficacy, thus it is worthy to be promoted.
出处
《中国医学工程》
2017年第12期16-18,共3页
China Medical Engineering
基金
广东省佛山市科技计划项目(2016AB003193)
关键词
社区精神障碍
医患共同决策诊疗模式
依从性
临床疗效
community psychiatric disorder
diagnosis and treatment mode of joint decision-making between doctors andpatients
compliance
clinical effect
