【摘要】 目的探讨药师对社区严重精神障碍康复患者实施服药训练服务的干预效果。方法选取社区康复中心严重精神障碍患者60例,随机分为对照组与试验组,每组30例。予对照组患者提供常规康复训练和用药教育,试验组在对照组基础上予以药师介导服药训练服务。采用自知力与治疗态度问卷(ITAQ)、药物依从性量表(MARS)与自制精神科药物知识问卷实施评估,比较两组患者入组、出组时、出组后3个月和6个月的自知力、用药依从性、精神科用药知识评分,并随访出组后6个月的再住院率。结果自知力方面,试验组患者在出组后6个月表现较对照组好,差异具有统计学意义(P <0.05);服药依从性方面,试验组患者较对照组在出组时、出组后3、6个月均表现较好,差异有统计学意义(P <0.05)。精神科用药知识方面,试验组患者出组时、出组3、6个月后得分均优于对照组,差异具有统计学意义(P <0.01)。试验组再住院率较低,但差异无统计学意义(P> 0.05)。结论通过药师介导服药训练可达到改善严重精神障碍患者自知力、提高服药依从性、增强患者对精神科药物认识的效果。更多还原

【Abstract】 Objective To explore the effect of pharmacists’ intervention in the implementation of medication training services for patients with severe mental disorder rehabilitation in the community. Methods Sixty patients with severe mental disorders in community rehabilitation centers were selected and randomly divided into a control group and an experimental group, with 30 patients in each group. Patients in the control group provided routine rehabilitation training and medication education, and the experimental group was given pharmacist-mediated medication training services based on the control group.The self-perception and treatment attitude questionnaire(ITAQ), drug compliance scale(MARS) and self-made psychiatric drug knowledge questionnaire were used to evaluate and compare the two groups of patients enrolled, out of the group, 3 months and 6 Monthly self-perception, medication compliance, psychiatric medication knowledge score Results In terms of self-knowledge, the patients in the experimental group performed better than the control group 6 months after leaving the group, and the difference was statistically significant(P < 0.05). In terms of medication compliance, the patients in the experimental group performed better than the control group at the time of leaving the group and at 3 and 6 months after the group was discharged, with a statistically significant difference(P < 0.05). In terms of psychiatric medication knowledge, the scores of patients in the experimental group were better than those in the control group at 3 months and 6 months after leaving the group. The rehospitalization rate in the experimental group was low, but the difference was not statistically significant(P > 0.05). Conclusion Through pharmacist-mediated medication training can achieve the effect of improving the awareness of patients with severe mental disorders, improving medication compliance, and enhancing patients’ awareness of psychiatric drugs.更多还原