与越南双相情绪障碍患者治疗不坚持相关的因素
1Department of Mood Disorders, National Institute of Mental Health, Hanoi, Vietnam.
概括
越南双相情绪障碍患者的治疗不坚持与男性性别和多种药物有关. 家庭支持显著改善了药物服药,强调了需要更多的家庭参与护理的必要性.
科学领域:
- 精神病学是一个精神病学.
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 双极性障碍需要一致的治疗坚持有效管理.
- 精神病患者的不遵守是精神病医疗的重大挑战,特别是在像越南这样的资源较少的环境中.
研究的目的:
- 调查影响越南双相情绪障碍患者治疗不坚持的因素.
- 确定药物坚持的特定的人口,临床和社会决定因素.
主要方法:
- 一项涉及越南巴赫迈医院121名双相情感障碍患者的横截面研究.
- 使用莫里斯基药物坚持度表 (MMAS-8) 评估药物坚持度.
- 使用后勤和多重线性回归分析来识别不遵守和MMAS-8分数的预测因素.
主要成果:
- 超过一半 (56.2%) 的患者表现出治疗不坚持.
- 不坚持与男性性别,低教育和多药性 (>2种药物) 相关.
- 与坚持积极相关的因素包括婚姻状况和家庭鼓励,支持和管理.
结论:
- 男性的性别和多药性是越南双相情感障碍患者不坚持治疗的重要预测因素.
- 家庭的参与和支持对于改善治疗坚持至关重要.
- 建议采取有针对性的干预措施来加强家庭参与,以改善结果.
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