Analysis of Influencing Factors of Medication Compliance in Discharged Depressive Patients and Recurrence Situation

Abstract

Objective: To analyze the influencing factors of medication compliance in discharged depressive patients and the recurrence situation of depression.Methods: 135 cases of discharged depressive patients during July 2011 and July 2014 were selected and followed up to investigate their general demographic data, hospitalization treatment, related situation after discharge, family and social support situation, recurrence situation, etc. In fact, survey data of total 120 cases were acquired, and they were divided into the compliance group(56 cases) and the non-compliance group (64 cases) as per the conditions of medication administration following the doctor's advice, spontaneous medication reduction, intermittent medication and medication discontinuance. Results:(1) No statistical difference appeared between two groups in gender and age (P > 0.05) and a statistical difference occurred between them in education and marriage (P < 0.05); (2) Depression recurred in 76 cases and did not recur in 44 cases among 120 cases. There were 15 cases with recurrence in the compliance group (26.7 %) and 61 cases with recurrence in the noncompliance group (93.8 %). The difference was statistically significant (P < 0.05). (3) Logistic regression analysis showed that the education level, family's attitude toward medication, medication duration, dosage, the ability to work and recurrence situation were the direct factors affecting the medication compliance in the depressive patients. Conclusion:To strengthen the publicity of taking medicine per the doctor's advice and focus on improving the family environment and the quality of medical treatment are the keys to improving the discharged medication compliance in depressive patients.