CAJ | 학술논문

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.
목적 관찰응용다매체가강인지치료대조광증환자치료의종성적영향.방법 장60례조광증환자수궤분위인지치료조화대조조.량조균접수항조광약물치료,인지치료조재차기출상응용다매체가강인지치료,이대조조부한우일반건강교육.채용Bech-Rafaelsen조광량표(BRMS)、자지력여치료태도문권(ITAQ)、복약의종성조사표,분별우치료전、치료후4주말、8주말、1년후각평정1차.결과 치료후,량조BRMS、ITAQ、복약의종성비교차이유통계학의의(P＜0.01혹P＜ 0.05),균이인지치료조교호.결론 응용다매체가강인지치료능유효제고조광증환자복약의종성,방지병정복발.
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 control group 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 increace the medication compliance of patients with mania and prevent the patients from recurring.