Caroli François, Raymondet Philippe, Izard Isabelle, Plas Joel, Gall Bérengère, Delgado Antonio
Psychiatry Department, Centre Hospitalier Sainte-Anne, Paris, France;
Patient Prefer Adherence. 2011 Mar 21;5:165-71. doi: 10.2147/PPA.S15337.
Use of patient-reported outcomes to assess the care of individuals with schizophrenia is increasing. We describe a survey (questionnaire) that evaluates patient opinions on long-acting injectable antipsychotic medication.
Psychiatrists throughout France selected consenting patients with schizophrenia who had received at least three months' treatment with a long-acting injectable antipsychotic (either typical or atypical) as outpatients to be interviewed by professional interviewers.
A total of 206 patients were interviewed at 19 sites. Ninety-five percent of the patients had been treated with more than one form of dosage; for these individuals, injections were the favored dosage form, being preferred by 47% (compared with 35%, 7%, and 1% expressing a preference for oral tablets, drinkable solutions, and orally disintegrating tablets, respectively, whilst 10% of patients did not express a preference). Over two-thirds of the interviewees (67%) said they felt better having received an injectable treatment than they felt before, and over half the patients (51%) considered injectable therapy to be more effective than other medication. In addition, the majority of the sample (70%) felt better supported in their illness by virtue of regular contact with the doctor or nurse who administered their injection. Patients also reported that injectable treatment could impact positively on their plans and aspirations, with the most frequent consideration for the future relating to finding a job (49% of the sample).
In this survey, patients with schizophrenia had favorable opinions on injectable medication. Ultimately, positive experiences associated with the treatment of schizophrenia in patients receiving long-acting injectable medication may influence the prescription of such therapy by health care providers.
使用患者报告的结果来评估精神分裂症患者的护理情况日益增多。我们描述了一项调查(问卷),该调查评估患者对长效注射用抗精神病药物的看法。
法国各地的精神科医生挑选了同意参与的精神分裂症患者,这些患者作为门诊患者接受了至少三个月的长效注射用抗精神病药物(典型或非典型)治疗,由专业访谈员进行访谈。
在19个地点共访谈了206名患者。95%的患者接受过不止一种剂型的治疗;对于这些患者,注射剂是最受欢迎的剂型,47%的患者表示更喜欢注射剂(相比之下,分别有35%、7%和1%的患者更喜欢口服片剂、可饮用溶液和口腔崩解片,而10%的患者未表达偏好)。超过三分之二的受访者(67%)表示接受注射治疗后感觉比以前更好,超过一半的患者(51%)认为注射治疗比其他药物更有效。此外,大多数受访者(70%)认为由于与为他们注射的医生或护士定期接触,他们在患病期间得到了更好的支持。患者还报告说,注射治疗对他们的计划和抱负可能产生积极影响,对未来最常考虑的是找工作(49%的受访者)。
在这项调查中,精神分裂症患者对注射用药持积极看法。最终,接受长效注射药物治疗的精神分裂症患者与治疗相关的积极体验可能会影响医疗保健提供者对这种治疗方法的处方。