南印度精神疾病患者治疗负担而非健康风险态度与依从性相关

D. Ram, Neethu Benny, Shruthy Kv
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引用次数: 0

摘要

背景:对健康风险和治疗负担的态度可能影响治疗护理的治疗依从性。关于这些变量在精神疾病患者中的水平和关系的研究很少。目的:了解精神疾病患者健康风险态度、治疗负担与药物依从性的关系。设置和设计:横断面,医院为基础的研究。方法和材料:连续招募170名精神疾病缓解的参与者。采用社会人口学量表评估患者的详细情况,采用健康风险态度量表(HRAS)评估患者对健康风险的态度。治疗负担评价采用治疗负担问卷(TBQ),依从性评定采用依从性评定量表(MARS)。采用的统计分析:描述性统计,Kruskal e Wallis H,线性回归分析。结果:MARS评分为4.9 (SD±1.7)分,HRAS评分为62.2 (SD±8.6)分,TBQ评分为44.2 (SD±23)分。线性回归分析TBQ评分与HRAS评分呈显著正相关(R 2.35, df 1, F 94.2, p 0.001),而MARS评分与TBQ评分呈显著负相关(R 2.53, df 2, F 97.1, p 0.001)。结论:精神疾病患者的健康风险规避和治疗负担可能升高,并与较差的药物依从性有关。
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Treatment burden, not health risk attitude associated with adherence in patients with mental illness in South India
Background : Attitude towards health risks and treatment burden may mediate treatment adherence in therapeutic care. There is a paucity of study examining the levels and relationships of these variables in patients with mental illness. Objective : This study was conducted to know the relationships of health risk attitude & treatment burden and medication adherence in patients with mental illness. Settings and design : Cross-sectional, Hospital-based study. Methods and material : One hundred seventy consecutive participants in remission of mental illness were recruited. The patient ' s details were assessed with Sociodemographic proforma while attitude towards health risk was assessed with Health-Risk Attitude Scale (HRAS). To evaluate the burden of treatment, the Treatment Burden Questionnaire (TBQ) was used while medication adherence was rated with the Medication Adherence Rating Scale (MARS). Statistical analysis used : Descriptive statistics, Kruskal e Wallis H, Linear regression analysis. Results : Mean score on MARS was 4.9 (SD ± 1.7) while HRAS and TBQ were 62.2 (SD ± 8.6) and 44.2 (SD ± 23). On linear regression analysis scores of TBQ were statistically signi fi cant positively linked to HRAS score (R 2 ¼ .35, df ¼ 1, F ¼ 94.2, p ¼ 0.001), While Scores on MARS were statistically signi fi cant negatively linked TBQ and HRAS score (R 2 ¼ .53, df ¼ 2, F ¼ 97.1, p ¼ 001). Conclusions : Health risk aversion and treatment burden may upraise in mentally ill, and linked to poor medication adherence.
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