정신분열병 환자의 약물 비순응에 영향을 미치는 요인

• 영문명: Factors Influencing Drug Noncompliance in Schizophrenic Patients
• 발행기관: 대한신경정신의학회
• 저자명: 이강희 조맹제 이정균
• 간행물 정보: 『신경정신의학』제27권 제1호, 181~198쪽, 전체 18쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 1988.02.28

영문 초록

The authors investigated the factors influencing drug noncompliance in schizophrenic patients in Yongin Mental Hospital. 37 of 417 schizophrenic patients taking chlorpromazine proved to be drug noncompliant by Forrest urine test. We selected 22 of them who could give reliable answers to self-report questionaire as a noncompliant group. We also selected 22 patients as a control group who proved to be drug compliant by Forrest urine test. Using self-report questionaire we compared the difference in the knowledge about the medication, attitudes concerning the drug, opinions on the therapist-patient relationship and experiences of the drug side effects between two groups. The results were as follows •• 1) The rates of drug noncompliance of 417 patients taking chlorpromazine were 14.5% at the 1st urine test, 21.9% at the 2nd urine test, respectively. 2) The more the dose of chlorpromazine patient takes, the higher was the drug noncompliant rate. 3) The average frequency of medication per day of the drug compliant group was 2,6times per day, which was less than that (2.9 times per day) of the drug noncompliant group. 4) In comparison with the drug noncompliant group, the patients of the drug compliant group showed a tendency to believe that mental hospital teams other than the doctors were more concerned with them. 5) In comparison with the drug noncompliant group, the patients of the drug compliant group showed a tendency to fed more tension when they faced the mental hospital team. 6) The two groups were not signficantly different in their knowledge about the medication, attitudes concerning the drug, and experiences of the drug side effects.

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