急性病房思覺失調症病人藥物認知提升專案

Improving Medication Knowledge of Patients with Schizophrenia in an Acute Ward

陳倩妮(Chien-Ni Chen) ； 程碧君(Pi-Chun Cheng) ； 羅麗華(Li-Hua Lo)

《若瑟醫護雜誌》 12卷1期 (2018/10) Pp. 54-69

摘要

背景及目的：思覺失調症病人藥物認知程度，對服藥遵從性及再度入院有密切相關，故本專案旨在提升急性精神病房思覺失調症病人的藥物認知率。方法：專案執行期間自2012年8月1日至12月31日，經現況原因分析為缺乏藥物指導媒材、護理人員藥物認知不足、病人受精神症狀干擾不易衛教及病人不清楚藥物作用。藉由藥物圖卡製作、個別性出院藥物指導單張、製作精神科常見藥物手冊、開辦「藥不藥團體」及執行代幣獎勵制度等方案來改善病人的藥物認知。結果：經對策實施後，護理人員藥物認知分數由55.2分提升至90.6分，病人藥物認知分數由21.3分提升71.3分，半年再住院率由48.5%降至45.9%。結論：本專案重視思覺失調症病人藥物認知不足所衍生的服藥遵從性問題，建議透過藥物指導媒材，增加護理與病人的藥物認知，再經由代幣獎勵增加服藥動機，鼓勵參與藥物衛教團體，澄清對疾病與服藥的烙印，進而降低再住院率。

關鍵字

思覺失調症 ； 藥物認知 ； 藥物指導

並列摘要

Background and Purpose: Schizophrenia patient's medication knowledge, medication adherence with the re-hospitalization are closely related. Therefore, the project aims to promote the schizophrenia patient's medication knowledge rate in an acute psychiatric ward. Methods: The implementation of the project from 2012.08.01 to 2012.12.31. Analysis of the status of the problem was found to be lack of medication guidance medium, nurse lacks of knowledge of medications, Patient is disturbed by mental symptoms and not know the action of medication. To improve the patient's medication knowledge through the production of medication card, individual discharge medication handouts, make psychiatric handbook for common drugs, set up medication group and implement the token reward system. Results: Promote the nurse's medication knowledge score increased from 55.2 points to 90.6 points. The patient's medication knowledge score increased from 21.3 points 71.3 points. Re-hospitalization rate decreased from 48.5% to 45.9% in Six months. Conclusions: The project focused on the medication adherence issues induced by the medication deficiency of schizophrenia patients. Suggest through the medication guidance media to increase the patient's medication knowledge, And then by the token reward to increase medication motivation. Encourage patients to participate in medication therapy groups, to clarify the imprint on the disease and medication, and then decrease the re-hospitalization rate.

並列關鍵字

Schizophrenia ； Medication knowledge ； Medication guidance

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