[目的]探讨健康教育对精神分裂症病人遵医行为的影响。[方法]选择住院康复期精神分裂症病人160例,随机分为对照组和研究组各80例,两组均给予常规治疗和护理,研究组在康复过程中另外给予健康教育指导。[结果]研究组病人经健康教育后,不遵医行为明显改善,遵医行为明显高于对照组,两组差异均有统计学意义(P<0.01)。[结论]健康教育能改善病人的遵医行为,预防疾病的复发,促进病人的康复。

1 糖尿病治疗的依从性 1.1 依从性的概念依从性或顺应性通常是指一个人的行为与治疗和健康指导保持一致的程度.而行为应包括遵医嘱服药、定期门诊及改变不良生活方式(如饮食习惯、饮酒、吸烟等).行为本身包括态度、认识及动机,并随时间、环境变化而变化.

博乐欣和氯硝西泮合用治疗抑郁症可缩短药物起效时间 , 减少博乐欣副反应及自杀的发生率.将博乐欣合用氯硝西泮与单用博乐欣治疗抑郁症作双盲对照研究 ,观察博乐欣合用氯硝西泮起效时间、疗效及副反应.

Objective To investigate family nursing intervention and first onset schizophrenics rehabilitation. Methods One hundred patients with first onset schizophrenics were randomly divided into study group and control group equally . The patients were subjected to one year family nursing intervention. The brief psychiatric rating scale (BPRS) and social disability screening schedule (SDSS) were used to assess the compliance and relapse rate. Results In the study group, the scores of BPRS after intervention for 3, 6, 9, 12 months were significantly different from those in the control group ( P 0.05, P 0.01). After intervention for 6 and 12 months, the compliance in study group was superior to that in the control group ( P 0.05), and relapse rate was lower ( P 0.05). At 12 months, the SDSS scores in study group were lower than in control group,there was significant difference in SDSS scores between the two groups ( P 0.05). Conclusion Family nursing intervention to first onset schizophrenics was beneficial to improve clinical effectiveness and compliance and decrease relapse rate.

目的探讨长期住院老年精神分裂症患者的认知功能状况.方法采用日常生活活动能力量表(ADL)简易智力状态检查表(MMSE),对住院10年以上,病期15年以上,年龄55岁的精神分裂症病人及间断住院、门诊取药治疗的对照组病人进行测试.结果MMSE研究组(12.42±5.68)分,对照组(17.63±4.85)分;ADL研究组(38.26±9.35)分,对照组(31.50±6.38)分,差异有显著性.结论长期住院老年精神分裂症病人,较非长期住院的对照组病人,有明显的认知功能缺陷.

ObjectiveTo explore the effect of community based rehabilitation on chronic schizophrenia. Methods60 patients of chronic schizophrenia were randomly divided into the community based rehabilitation group (the study group) and the inpatients group (the control group). The study used prospective design for 1 year with brief psychiatric rating scale (BPRS),nurses' observation scale for inpatients evaluation (NOSIE) and social disability screening schedule (SDSS).ResultsCompared with the control group at the end of 6 month and 1 year, scores of BPRS, NOSIE and SDSS in the study group were significantly different ( P 0.05 - P 0.001 ). The relapse rate of the study group (0%) also lowered than that of the control group( 20%).ConclusionsCommunity based rehabilitation therapy can control the chronic schizophrenia effectively. It also promotes the life quality and social function of patients, and lowers the relapse rate significantly. It is an important rehabilitation method for chronic schizophrenia.