A study on influencing factors and current status of drug compliance in patients with serious mental disorder in Henan
10.3760/cma.j.cn113661-20190731-00254
- VernacularTitle:河南省严重精神障碍患者服药依从性现状及影响因素
- Author:
Zhengjun GUO
1
;
Yujie WANG
;
Changhong WANG
;
Hailing WANG
;
Ruiling ZHANG
;
Fengju YAO
Author Information
1. 新乡医学院第二附属医院防治科 453002
- Publication Type:Journal Article
- Keywords:
Mental disorders;
Self administration;
Questionnaires
- From:
Chinese Journal of Psychiatry
2020;53(4):321-327
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the current status of drug compliance in patients with serious mental disorder in Henan，and to study its influencing factors.Methods:Using stratified random sampling method. The baseline data of patients were collected by self-designed questionnaires. Logistic regression analysis was conducted to determine associated factors. Independent sample t-test and chi-square test were performed to compare the baseline data of the two groups. Results:A total of 1 872 valid questionnaires were collected, and the rate of medication compliance in patients with serious mental disorder was 51.34%(961). Through multivariate logistic regression analysis, we found that 10 variables, such as relation ship, household income level, and year treatment cost were significantly associated with drug compliance. Conjugal（ Wald χ2=10.491, P=0.001）, and sibling relationship ( Wald χ2=10.472, P=0.001) were the risk factors for drug compliance, and it has an increased tendency. Regarding household income level, compared with the level of ‘good’, the level of ‘very good’, ‘better than good’ （ Wald χ2=4.373, P=0.037）, and ‘moderate’ ( Wald χ2=4.189, P=0.041) were the protective factors for drug compliance, and it has a reducing tendency. In addition, patients′ age (45-59 years)( Wald χ2=7.060, P=0.008), living status (living together with caregivers)（ Wald χ2=32.029， P<0.01）, and residency (urban residents)（ Wald χ2=21.908, P<0.01） were the protective factors for drug compliance. Conclusions:The current status of drug compliance in patients with serious mental disorder in Henan was rigorous, and its influence factors are complicated. The interaction between factors should be comprehensively considered before applying interventions.
