Effect of Drug Management Skill Training on Lightening the Family Burden of Schizophrenic Patients in the Recovery Period_West China Medical Journal

Authors：

 ZuoXiaofeng , WuShuang , LiuYi , LiShuiying , ZhouQian , LaiHua ,  ZhangZhuoqiu

Psychological Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

ZhangZhuoqiu, Email: zhuoqiuzh@126.com

Keywords：

Schizophrenia; Drug management skill training; Positive and negative syndrome scale; Family burden scale of diseases

DOI：

10.7507/1002-0179.20160038

Video：

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Objective To explore the effects of drug management skill training on lightening the family burden of schizophrenic patients in their recovery period. Methods Between December 2011 and December 2013, 101 patients with schizophrenia were randomly divided into experimental group (n=56) and control group (n=45). The experimental group was given drug management skill training, while the control group only received routine follow-up. The course of the research was six months. Both groups were assessed by the positive and negative syndrome scale on patients' psychological symptoms, and family burden scale of diseases was used to assess the burden of the family. Results Compared with the controls, patients in the experimental group improved more in their positive symptoms (t=2.692, P=0.008), negative symptoms (t=2.729, P=0.008), general psychopathology symptoms (t=3.231, P=0.002) and the whole psychiatric symptoms (t=3.870, P<0.001). Moreover, the degree of patients' symptom improvement was positively correlated with the degree of family burden lightening (r=0.44, P<0.001). Conclusion For patients with schizophrenia, reasonable drug management skill training can effectively improve patients' medication compliance, promote treatment effect and lighten family burden.

Citation： ZuoXiaofeng, WuShuang, LiuYi, LiShuiying, ZhouQian, LaiHua, ZhangZhuoqiu. Effect of Drug Management Skill Training on Lightening the Family Burden of Schizophrenic Patients in the Recovery Period. West China Medical Journal, 2016, 31(1): 135-138. doi: 10.7507/1002-0179.20160038 Copy

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11.	裴建琴, 張瑞芬, 梅文卓. 康復期精神分裂癥患者的藥物管理技能訓練[J]. 護理學雜志, 2009, 24(15):74-76.
12.	楊彩霞. 精神疾病患者藥物管理訓練概述[J]. 國際精神病學雜志, 2011, 38(3):181-184.
13.	周湘梅, 馬瑩, 吳虹. 藥物管理訓練應用于精神分裂癥患者后服藥效果觀察[J]. 護理學報, 2014, 21(15):58-60.
14.	黃秀梅, 黃雪花, 黃麗娟, 等. 家庭關懷對精神分裂癥患者生活質量的影響[J]. 華西醫學, 2014, 29(12):2275-2278.
15.	陳愛學, 蘇雅芳, 姚明榮, 等. 精神病患者家屬心理應激與家庭負擔和心理健康狀況的相關性研究[J]. 護理與康復, 2015, 14(4):311-314, 318.
16.	王文伶, 蔡親奕, 伍雪晶. 心理干預對精神分裂癥患者家屬焦慮抑郁情緒的影響[J]. 廣東醫學, 2014, 35(2):315-317.
17.	M?ller-leimkühler AM. Burden of relatives and predictors of burden. Baseline results from the Munich 5-year-follow-up study on relatives of first hospitalized patients with schizophrenia or depression[J]. Eur Arch Psychiatry Clin Neurosci, 2005, 255(4): 223-231.
18.	謝侃侃, 張國富, 李艷, 等. 北京城區精神分裂癥家屬經濟負擔與生存質量[J]. 臨床精神醫學雜志, 2011, 21(2):84-86.

1. Gilbert PL, Harris MJ, Mcadams LA, et al. Neuroleptic withdrawal in schizophrenic patients. A review of the literature[J]. Arch Gen Psychiatry, 1995, 52(3):173-188.
2. Klingberg S, Schneider S, Wittorf A, et al. Collaboration in outpatient antipsychotic drug treatment:analysis of potentially influencing factors[J]. Psychiatry Res, 2008, 161(2):225-234.
3. Pi WD, Olfson M. Cost of relapse in schizophrenia[J]. Schizophr Bull, 1995, 21(3):419-429.
4. 劉國強. 藥物管理技能訓練對精神分裂癥患者服藥依從性的影響[J]. 齊齊哈爾醫學院學報, 2013, 34(14):2155-2156.
5. 林連英. 藥物管理技能訓練對精神分裂癥患者服藥依從性的影響[J]. 中國醫學創新, 2013, 10(2):86.
6. 裴建琴, 張瑞芬, 梅文卓. 藥物管理技能訓練對精神分裂癥病人服藥依從性的影響[J]. 護理研究, 2010, 24(3):219-220.
7. 張作記. 行為醫學量表手冊[M/CD]. 北京:中華醫學電子音像出版社, 2005:97-359.
8. Woods SW. Chlorpromazine equivalent doses for the newer atypical antipsychotics[J]. J Clin Psychiatry, 2003, 64(6):663-667.
9. 魏春香, 楚平華, 魏貴明. 對住院精神分裂癥患者自我管理訓練康復效果的評價[J]. 現代護理, 2007, 13(25):2367-2369.
10. 楊彩儒, 劉建叢, 安欣儒. 首發精神分裂癥患者服藥依從性的調查[J]. 護理實踐與研究, 2011, 8(1):123-124.
11. 裴建琴, 張瑞芬, 梅文卓. 康復期精神分裂癥患者的藥物管理技能訓練[J]. 護理學雜志, 2009, 24(15):74-76.
12. 楊彩霞. 精神疾病患者藥物管理訓練概述[J]. 國際精神病學雜志, 2011, 38(3):181-184.
13. 周湘梅, 馬瑩, 吳虹. 藥物管理訓練應用于精神分裂癥患者后服藥效果觀察[J]. 護理學報, 2014, 21(15):58-60.
14. 黃秀梅, 黃雪花, 黃麗娟, 等. 家庭關懷對精神分裂癥患者生活質量的影響[J]. 華西醫學, 2014, 29(12):2275-2278.
15. 陳愛學, 蘇雅芳, 姚明榮, 等. 精神病患者家屬心理應激與家庭負擔和心理健康狀況的相關性研究[J]. 護理與康復, 2015, 14(4):311-314, 318.
16. 王文伶, 蔡親奕, 伍雪晶. 心理干預對精神分裂癥患者家屬焦慮抑郁情緒的影響[J]. 廣東醫學, 2014, 35(2):315-317.
17. M?ller-leimkühler AM. Burden of relatives and predictors of burden. Baseline results from the Munich 5-year-follow-up study on relatives of first hospitalized patients with schizophrenia or depression[J]. Eur Arch Psychiatry Clin Neurosci, 2005, 255(4): 223-231.
18. 謝侃侃, 張國富, 李艷, 等. 北京城區精神分裂癥家屬經濟負擔與生存質量[J]. 臨床精神醫學雜志, 2011, 21(2):84-86.

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West China Medical Journal

Effect of Drug Management Skill Training on Lightening the Family Burden of Schizophrenic Patients in the Recovery Period

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