門診思覺失調症患者影響服藥遵從性之研究

A Study on the Factors influencing adherence to medication Among Schizophrenic Outpatients.

梁寊鈞(Jhen-Jyun Liang)

指導教授 ： 顏文娟 教授

中山醫學大學/醫學院/護理學系碩士班/碩士(2017年)

摘要

本論文的研究目的旨在了解台灣中部地區某醫學中心精神科門診之思覺失調症患者，對服藥遵從行為及其影響因素。本研究以台灣中部地區某醫學中心精神科門診之思覺失調症患者為研究對象，樣本數為107人，有效樣本數為100人，有效回收率為93%。為探討思覺失調症患者影響服藥遵從性之相關因素，本研究使用中文版之「服藥遵從行為量表」及其影響因素之相關量表來進行研究。透過描述性統計、t-test、單因子變異數、積差相關及多元回歸等統計方法進行分析。研究結果顯示：服藥遵從性與「實現成就」、「口語說服」和「生理激勵」等影響因素達顯著的負相關，其中以「生理激勵」最顯著，解釋全部的變異量為11％。本研究結果可提供醫院相關單位、護理人員及後續研究者之參考。

關鍵字

思覺失調症 ； 服藥遵從性

並列摘要

The purpose of this study aims to understand the influencing factors of adher-ence to medication with Schizophrenic patients in the Psychiatric clinic of a medical center in central Taiwan. The subjects were Schizophrenic patients from the Psychiatric clinic of a medical center in central Taiwan. Numbers of valid samples were 100 people from a randomly selected sample of a total of 107 peo-ple, and the valid response rate was 93%. To investigate the related factors af-fecting adherence to medication with Schizophrenic patients, Chinese version of the “Medication Adherence Scale” and some related influencing factors scales were used in this study. And then, Description statistics, T-test, One-way ANO-VA, Pearson Product-Moment Correlation, and Multiple Regression were used to analyze. There was a significant negative correlation between medication ad-herence and the influencing factors of "Performance achievement", "Verbal per-suasion" and "Physiological arousal." Among them, "Physiological arousal" was the most significant, which could explain the total variation of 11%. The results of this study can provide reference for hospital-related units, nursing staff and follow-up researchers.

並列關鍵字

Schizophrenia ； medication adherence

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