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Relationship between first visit time, compliance and different attribution in first-episode schizophrenic patients
Pages: 351-
354
Year: 2017
Issue:
5
Journal: Nervous Diseases and Mental Hygiene
Abstract: Objective To explore the relationship between first visit time, compliance and differ-ent attribution in first-episode schizophrenic patients.Methods Totals of 100 patients with schizophrenia from March 2013 to March 2015 in Huazhong University of Science and Technology Affiliated Tongji Medical School Mental Health Center were included in this study. All patients were divided into three groups according to the attribution of disease:A group(individual factor, 27 cases), B group(socio-psychological factor, 65 cas-es) and C group(supernatural factor, 8 cases). After one-year follow-up after discharge from hospital, course of disease, recurrence, treatment compliance and effects of rehabilitation were compared.Results The course of disease in A group was significantly shorter than that in B and C group(P<0.05). The recurrence rate in A and B group was significantly lower than that in C group(P<0.05). The drug and return visit compliance in A group was significantly higher than that in B and C group(P<0.05). And drug and return visit compliance in B group was signifi-cantly higher than that in C group(P<0.05). No significant differences were found on Insight and Treatment Attitudes Questionnaires(ITAQ) scores and Social Disability Screening Schedule(SDSS) scores in three groups before hospi-talization(P>0.05). After one year, scores of ITAQ and SDSS in A group were significantly better than that in B and C group, while B group was better than C group(P<0.05).Conclusions Active individualized propaganda and education on the family dependents of patients with first-episode schizophrenia can improve their cognition of disease and negative attitude, promote them to support the maintenance treatment and improve rehabilitation.
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