摘要
探讨精神分裂症患者自知力的变化过程及其对依从性的影响。选取12例之前符合中国精神障碍分类与诊断标准第三版(CCMD-3)的精神分裂症诊断标准,当前简明精神病评定量表(BPRS)≤20分,且坚持服药的患者进行深入访谈,逐字转录并采用解释现象学方法分析资料。发现自知力变化可以分为3个时期:否认期、茫然/冲突期、接受期。在否认期患者会认为自己没有病;在茫然/冲突期,患者不确定哪些是病;在接受期,患者不想再发病,愿意坚持治疗。结果显示在不同阶段,患者依从性不尽相同。自知力受到多种因素的影响。
To investigate the insight changes process in patients with schizophrenia and its impact on compliance. 12 cases of schizophrenias were selected, meeting the criteria of CCMD-3, current Brief Psychiatric Rating Scale （BPRS） 420, and insisting on taking medicine. Qualitative data were collected mainly through in-depth interviews, recorded alive, and analyzed with hermeneutic phenomenology method. The change of insight in patients with schizophrenia could be divided into three periods： denial, confuse/conflict, acceptance. In denial period patients would not recognize they have the disease~ in confuse/conflict period, patients were not sure whether they have the disease or not, or that they knew they were sick, but they did not want to be the patient~ in acceptance period, patients knew they. should avoid the possibility of relapse. At different stages, patient compliance varied, and their insights were affected by many factors.
出处
《医学与哲学（B）》
2015年第9期73-77,共5页
Medicine & Philosophy(B)
基金
武汉市卫生局项目
项目编号:WG10B04
关键词
精神分裂症
自知力
依从性
质性研究
schizophrenia, insight, compliance, qualitative research
