Gray Richard, Spilling Rosalyn, Burgess David, Newey Tim
Faculty of Health, University of East Anglia, Norwich NR4 7TJ, UK.
Br J Psychiatry Suppl. 2009 Nov;52:S51-6. doi: 10.1192/bjp.195.52.s51.
A patient-centred approach to care, focusing on recovery, demands a reconsideration of how choices are made about treatment, how this affects medication adherence, and the role of long-acting antipsychotics (LAIs) in this process.
To explore the role of the mental health professional (particularly nurses) in helping patients manage their medication, with a specific focus of the use and administration of LAIs.
A pragmatic review of the literature.
Patients (by experience) and mental health professionals (by training and clinical practice) are experts in the care and treatment of psychosis. When patients and clinicians make a joint decision both are more likely to adhere to the treatment plan. In this paper we consider good practice in the administration of LAIs that focuses on where and when they should be given and administration techniques. Skills for talking with patients about their medication that include exchanging information, monitoring the effects of medication and making advance choices about treatment in the event of a crisis are also discussed.
Mental health professionals require a range of competences to help patients manage their medication effectively.
以患者为中心、注重康复的护理方法，要求重新思考如何做出治疗选择、这如何影响药物依从性以及长效抗精神病药物（LAIs）在此过程中的作用。
探讨心理健康专业人员（尤其是护士）在帮助患者管理药物方面的作用，特别关注长效抗精神病药物的使用和给药。
对文献进行实用综述。
患者（通过经验）和心理健康专业人员（通过培训和临床实践）是精神病护理和治疗方面的专家。当患者和临床医生共同做出决定时，双方都更有可能坚持治疗计划。在本文中，我们考虑了长效抗精神病药物给药的良好做法，重点在于给药的地点和时间以及给药技术。还讨论了与患者谈论其药物的技巧，包括交换信息、监测药物效果以及在危机情况下提前做出治疗选择。
心理健康专业人员需要一系列能力来帮助患者有效管理药物。
