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目的探讨住院精神分裂症病人拒服药物因素,并实施有效的护理对策。方法选取自2014年1月至2017年1月收治的住院精神分裂症患者125例,分析所有精神分裂症患者拒绝服药的原因,并根据患者的情况实施有效的护理措施。结果拒绝服药的原因有:自制力缺乏63例,发生率为50.4%,精神症状所致38例,发生率为30.4%,药物副反应33例,发生率为26.4%,精神科知识缺乏46例,发生率为36.8%,担心出院后工作能力下降38例,发生率为30.4%,再次复发缺乏治疗信心25例,发生率为20.0%,蓄积药品有自杀倾向4例,发生率为3.2%。结论住院精神分裂症病人拒服药物因素主要有:自知力缺乏、精神症状所致、药物副反应、精神科知识缺乏、担心出院后工作能力下降、再次复发缺乏治疗信心等,根据分析结果制定有效的护理对策,可提高患者服药依从性,减少药物的副反应等。
Objective To investigate the factors of refusing to take drugs in hospitalized schizophrenics and to implement effective nursing countermeasures. Methods From January 2014 to January 2017, 125 inpatients with schizophrenia were enrolled in this study. The causes of refusal of taking all patients with schizophrenia were analyzed and effective nursing measures were implemented according to the patients’ condition. Results The reasons for refusing medication were: lack of self-control in 63 cases, incidence rate of 50.4%, psychiatric symptoms caused by 38 cases, the incidence was 30.4%, drug side effects in 33 cases, the incidence was 26.4%, lack of knowledge of psychiatric 46 cases , The incidence rate was 36.8%. There were 38 cases with decreased ability to work after discharge, the incidence rate was 30.4%. In the second relapse, there was no treatment confidence in 25 cases, the incidence rate was 20.0%. The cumulative drug possession suicide tendency was 4 cases, the incidence rate was 3.2%. Conclusions Inpatients with schizophrenia patients refused to take drugs are: lack of knowledge, mental symptoms, drug side effects, lack of psychiatric knowledge, worry about the ability to work after discharge decreased, the recurrence of the lack of treatment confidence, etc., based on the results of the analysis Effective nursing strategies can improve patient compliance with medication and reduce side effects of drugs.