입원중인 정신분열중환자의 약물거부 一투약거부자와 순웅자의 비교

• 영문명: Drug Refusal in Hospitalized Patients with Schizophrenic Disorder ： A Comparison between Refusers and Compilers
• 발행기관: 대한신경정신의학회
• 저자명: 윤진상 김중원
• 간행물 정보: 『신경정신의학』제27권 제1호, 199~212쪽, 전체 14쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 1988.02.28

영문 초록

Hospitalized patients with schizophrenic disorder may directly refuse their offered antipsychotic medication. This study was designed to compare the refusers with the compliers in relation to some of the potential risk factors contributing to the refusal. The factors included in the present study were 1) sociodemographic characteristics, 2) the level of psychopathology by the BPRS, 3) the level of satisfaction with therapeutic team and ward environment, 4) the schedule of drug administration，5) the side effects requiring readjustment of the drug, and 6) the subjective response to current medication. 23 hospitalized psychiatric patients who overtly refused antipsychotic medication, and who according to DSM-111 were diagnosed as suffering from schizophrenic disorder，were recognized as the refusers. A sample of 23 compliers, who willingly accepted antipsychotic medication, was matched for age(± 5 years), sex, diagnosis, treatment ward and length of current hospitalization (±7days). The data was mainly collected by the investigator’ s semistructured interview with the patients and by review of medical records. The resurlts were as follow. 1) There was no significant difference in education, marital status, illness duration, frequency of previous psychiatric hospitalization, and type of admission between the two groups. 2) Raings on the BPRS showed the refusers were significantly (p<0.01) more symptomatic than the compliers. The refusers had significantly higher scores on the BPRS for anxiety (p〈0. 05), emotional withdrawal (p<0.005), depressive m ood(p

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