行为干预对抑郁症患者服药依从性的效果分析
Analysis of the Effect of Behavioral Intervention on Medication Compliance of Patients with Depression
DOI: 10.12677/hjbm.2026.163048, PDF,   
作者: 杨 慧:云南医药健康职业学院护理学院,云南 昆明;罗 婷:大理大学第一附属医院神经内科,云南 大理
关键词: 行为干预服药依从性抑郁患者Behavioral Intervention Medication Compliance Depression Patients
摘要: 研究旨在探讨行为干预对住院抑郁症患者服药依从性的影响。研究选取了60名住院抑郁症患者,将其均分为实验组和对照组。对照组接受常规护理,而实验组在常规护理的基础上,额外接受了包括心理护理、用药指导、闹铃提示和微信提醒在内的复合式行为干预。研究使用Morisky服药依从性量表(MMAS-8)在干预前及干预两个月后对两组患者的依从性进行评估。研究结果显示,干预后实验组的服药依从性得分显著高于对照组,且其依从性较干预前有显著提升;而对照组无显著变化。研究结论认为,在临床中对抑郁症患者实施行为干预能有效改善其服药依从性,从而可能提高治疗效果并降低复发风险。
Abstract: This study aims to explore the effect of behavioral intervention on medication compliance of inpatients with depression. A total of 60 inpatients with depression were selected and equally divided into an experimental group and a control group. The control group received routine nursing, while the experimental group received additional composite behavioral intervention, including psychological nursing, medication guidance, alarm reminders and WeChat reminders on the basis of routine nursing. The Morisky Medication Adherence Scale (MMAS-8) was used to evaluate the compliance of the two groups before the intervention and 2 months after the intervention. The results showed that after the intervention, the medication compliance score of the experimental group was significantly higher than that of the control group, and its compliance was significantly improved compared with that before the intervention; while there was no significant change in the control group. It is concluded that the implementation of behavioral intervention for patients with depression in clinical practice can effectively improve their medication compliance, which may further improve the treatment effect and reduce the risk of recurrence.
文章引用:杨慧, 罗婷. 行为干预对抑郁症患者服药依从性的效果分析[J]. 生物医学, 2026, 16(3): 455-462. https://doi.org/10.12677/hjbm.2026.163048

参考文献

[1] 孔文婷, 纪军军, 李凤良. 难治性抑郁症和首发抑郁症患者认知功能的差异及认知行为干预[J]. 心理月刊, 2025, 20(20): 145-147.
[2] 卜晓慧, 廖世珍, 谢妙茶.医院-社区-家庭管理模式对抑郁症患者服药依从性、不良情绪及生活质量的影响[J]. 慢性病学杂志, 2020, 21(5): 699-701.
[3] 石睫. 首发精神疾病患者药物治疗后体重及影响因素变化研究[D]: [硕士学位论文]. 长沙: 中南大学, 2024.
[4] 胡婉琴, 曹学华, 李艳, 等. 抑郁症患者服药依从率及其影响因素的Meta分析[J]. 数理医药学杂志, 2024, 37(11): 831-846.
[5] 国磊, 高德芳, 孔媛媛. 青少年抑郁症患者采用叙事护理对其心理弹性、自尊及服药依从性的影响[J]. 心理月刊, 2024, 19(15): 129-131.
[6] 延英芹, 吴秀花, 马敬霞. 多元联动护理对抑郁症患者服药依从性的干预探讨[J]. 心理月刊, 2023, 18(9): 132-134.
[7] 王存民. 抑郁症患者药物治疗依从性影响因素及预防对策[J]. 中国处方药, 2023, 21(10): 76-78.
[8] Aikens, J.E. and Klinkman, M.S. (2012) Changes in Patients’ Beliefs about Their Antidepressant during the Acute Phase of Depression Treatment. General Hospital Psychiatry, 34, 221-226. [Google Scholar] [CrossRef] [PubMed]
[9] 王维, 蔡幸芳, 谢雪华. 抑郁症患者抗抑郁药服用依从性与抑郁症状改善程度的相关性分析[J]. 心理月刊, 2023, 18(10): 123-125.
[10] 高渡. 院内外一体化护理模式对老年糖尿病患者服药依从性的影响[J]. 循证护理, 2020, 6(9): 962-965.
[11] 翁艳君, 赵豫梅, 刘伟军, 宋滇平. 中文版8条目Morisky服药依从性量表在2型糖尿病患者中的信效度评价及应用研究[J]. 中华临床医师杂志(电子版), 2018, 12(8): 445-450.