만성정신분열병 외래환자의 항정신병 약물에 대한 개념 및 태도 조사

Attitudes and Concepts on the Antipsychotics of Chronic Schizophrenic Outpatients

Using modified self-report questionaire composed by Dr. Oh, Dong Won and his associates (1986), the concept and attidtude of the schizophrenic outpatients toward antipsychotic medication was investigated. The subjects were 151 chronic schizoprhenic outpatients in Seoul National Mental Hospital during the time from July 1. to Aug 31., 1987. The significant results were as follows. 1) 80.2% of the subjects responded as “drug can help improve their illness” but only 45.6% of them reported to take drug voluntarily 2) Regarding to the greatest benifits of antipsychotics, “to improve insomnia” was most popular response(53.2%) 3) The favored method of medication was “by oral” (97.2%), its frequency was “once a day in the evening” (50.0%) and the number of drugs taken was “less than 5 per day” (69.2%) 4) 79.9% of the subjects had some experiences of “unwillingness to take durgs” which was mainly accounted by “unpleasant side effectsM (30.9 % ) 5) 48.2% of the subjects reported that antipsychotics might have “habituation potential” and 60.9^ reported that antipsychotics would have “adverse effect on the body” 6) 61.5% of the subjects accepted the necessity of drug continuation ordered by doctor and the main reason of drug continuation was “to help treatment” (44.2% ), while the main reason of drug discontinuation was “unnecessary because of being cured of disease” (50.0 %) 7) It was reproted that the most unpleasant side effect of antipsychotics was tremor, followed by sedation and constipation. 8) Demographic variables (ie ; duration of illness, number of previous admission, educataion) were compared in two groups using 乂2-test. The statistically significant results were as follows. (1) The number of patients answering that they world take medication “voluntarily” and world take “more than 3yrs” was higher in the longterm patients. The number of patients answering that they are “dissatisfactory“ on medication was higher for short-term patients. (2) The rate of “complete effectiveness” regarding to the concept on the value of antipsychotics was higher in the group who had less frequent number of previous admission. (3) The rate of “pharmacotherapy” (the proposed treatment method) was higher in the high education group.