Disability levels among outpatients with schizophrenia: effect of medication adherence

A. El-ezazy, Samah El.sayed, Safa Amin
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Abstract

Background: In order to sustain adherence to mental medication regimens, clients must begin therapy and continue taking their medications at the proper time, with the correct dosage, for longer periods of time. However, increasing adherence in individuals with schizophrenia may have a positive impact on both their overall state of life and society as a whole. Aim: was to investigate the severity of disability in outpatients with schizophrenia and to see its relationship with medication adherence at outpatient clinic in Beni Suef Psychiatric Hospital. Subjects and Methods: descriptive correlational design was used with а purposive sample of 50 Patients with Schizophrenia who were attended at outpatient clinic including follow up treatment patients at Beni Suef psychiatric Hospital , Beni Suef city , Egypt . The Brief Psychiatric Rating Scale, The Medication Adherence Rating Scale and The World Health Organization Disability Assessment Schedule version 2.0 were used for data collection. Result: 32% of patients were adherent, while 68% were non-adherent .52% of patients suffered from a severe psychiatric disorder, while 40% suffered from a moderate disorder Conclusion: Schizophrenia can lead to disability in various areas of life, including social functioning, occupational functioning, independent living skills, cognitive functioning, and self-care. Nearly half of schizophrenic patients in the study have high disability level and have suffered from severe psychiatric symptoms. Recommendations: It recommends that Practitioners in health care find real-life techniques to increase medication adherence in order to improve the therapeutic results, reducing or minimizing impairment.
门诊精神分裂症患者的残疾程度:坚持用药的影响
背景:为了坚持服用精神药物,患者必须开始治疗,并在适当的时间、以正确的剂量、持续较长时间服用药物。然而,提高精神分裂症患者的服药依从性可能会对他们的整体生活状况和整个社会产生积极影响。目的:调查精神分裂症门诊患者的残疾严重程度,并了解其与贝尼苏伊夫精神病医院门诊服药依从性之间的关系。研究对象和方法:采用描述性相关设计,对埃及贝尼苏埃夫市贝尼苏埃夫精神病医院门诊(包括后续治疗)的 50 名精神分裂症患者进行有目的的抽样调查。数据收集采用了简明精神病评定量表、用药依从性评定量表和世界卫生组织残疾评估表 2.0 版。结果:32%的患者坚持服药,68%的患者不坚持服药;52%的患者患有严重精神障碍,40%的患者患有中度精神障碍:精神分裂症会导致患者在社会功能、职业功能、独立生活能力、认知功能和自理能力等多个生活领域出现残疾。研究中近半数精神分裂症患者的残疾程度较高,并伴有严重的精神症状。建议建议医疗保健从业人员找到提高药物治疗依从性的实际技术,以提高治疗效果,减少或尽量减少损伤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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