基于计划行为扩展理论的精神分裂症患者药物坚持路径分析:横截面研究
Xuping Li1, Shuiyuan Xiao2, Yajun Sun3
1Department of Henan Provincial Engineering and Technology Research Centre for Pan-Vascular Disease Prevention and Treatment, Henan Provincial People's Hospital, Zhengzhou, Henan 450003, China; Xiangya School of Public Health, Central South University, No.172 Tongzipo Road, Yuelu District, Changsha City, Hunan Province 410006, China.
Journal of psychosomatic research
|September 4, 2025
概括
这项研究发现,意图和监督直接影响了中国精神分裂症患者的服药能力. 态度,规范和控制间接地通过意图影响坚持,支持扩展的计划行为理论.
科学领域:
- 精神病学
- 行为科学
- 公共卫生
背景情况:
- 对于社区住宿的精神分裂症患者来说, 药物治疗是一个关键问题.
- 行为理论提供了对影响坚持的因素的见解.
- 了解这些因素是制定有效干预措施的关键.
研究的目的:
- 在中国精神分裂症患者中确定与药物坚持相关的因素.
- 使用扩展的计划行为理论 (TPB) 探索潜在的机制.
- 引导干预设计以改善药物坚持.
主要方法:
- 调查了468名中国社区精神分裂症患者.
- 通过七天回忆测量药物坚持.
- 评估药物态度,感知行为控制,主观规范,意图和监督使用验证和自我开发的尺度.
- 测试扩展TPB模型的路径分析.
主要成果:
- 81. 20% 的患者表现出药物坚持.
- 意图和监督与坚持有直接关联.
- 态度,主观规范和感知到的行为控制间接地通过意图影响了坚持.
结论:
- 扩展的计划行为理论有效地预测了这一群体的药物坚持.
- 干预应针对态度,主观规范,感知行为控制和监督.
- 这一框架支持制定有针对性的策略,以提高精神分裂症患者的服药能力.
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