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应用多媒体加强认知治疗对躁狂症患者依从性的研究

Influence of cognitive therapy strengthened by multimedia on compliance of patients with mania
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摘要 目的观察应用多媒体加强认知治疗对躁狂症患者治疗依从性的影响。方法将60例躁狂症患者随机分为认知治疗组和对照组。两组均接受抗躁狂药物治疗,认知治疗组在此基础上应用多媒体加强认知治疗,而对照组仅限于一般健康教育。采用Bech—Rafaelsen躁狂量表(BRMS)、自知力与治疗态度问卷(ITAQ)、服药依从性调查表,分别于治疗前、治疗后4周末、8周末、1年后各评定1次。结果治疗后,两组BRMS、ITAQ、服药依从性比较差异有统计学意义(P〈0.01或P〈0.05),均以认知治疗组较好。结论应用多媒体加强认知治疗能有效提高躁狂症患者服药依从性,防止病情复发。 Objective To observe the influence of the cognitive therapy strengthened by multimedia on the compliance of the patients with mania. Methods 60 patients with mania were randomly divided into a cognitive therapy group and a control group. Both groups received anti-manic medication. Additionally, the cognitive therapy strengthened by multimedia was given to the cognitive therapy group. However, the controlgroup only received general health education. Bech-Rafaelsen Mania Rating Scale ( BRMS ) , Insight and Treatment Attitude Questionnaire ( ITAQ ) , and medication compliance questionnaire were used to assess both groups before and 4 weeks, 8 weeks, and 1 year after the intervention. Results The scores of BRMS, ITAQ, and medication compliance questionnaire were better in the cognitive therapy group than in the control group, with statistical differences (P 〈 0.01 or P 〈 0.05 ) . Conculsions The cognitive therapy strengthened by multimedia can iucreace the medication compliance of patients with mania and prevent the patients from recurring.
出处 《国际医药卫生导报》 2013年第17期2659-2662,共4页 International Medicine and Health Guidance News
基金 广东省医学科研基金项目(A2010417)
关键词 多媒体 认知治疗 躁狂症 治疗依从性 Multimedia Cognitive therapy Mania Therapy compliance
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