Leutwyler Heather C, Fox Patrick J, Wallhagen Margaret
Department of Physiological Nursing, School of Nursing, University of California, San Francisco, San Francisco, CA 94143, USA.
J Gerontol Nurs. 2013 Feb;39(2):26-34; quiz 35. doi: 10.3928/00989134-20130109-02. Epub 2013 Jan 18.
Older adults with schizophrenia are a growing segment of the population, yet their physical and mental health status is extremely poor. This article presents findings from a qualitative study that explored the understanding older adults with schizophrenia have of their physical health status. The study was conducted among 28 older adults with schizophrenia from a variety of settings using semi-structured interviews and participant observation. Self-management of psychiatric and non-psychiatric medications and its effect on participants' health status was one of the central themes that emerged from the study. Different styles of medication adherence were identified and factors associated with each style are presented. The findings provide insights into the design of clinical interventions aimed at promoting medication adherence among older adults with schizophrenia.
患有精神分裂症的老年人在人口中的占比日益增加，然而他们的身心健康状况却极其糟糕。本文呈现了一项定性研究的结果，该研究探讨了患有精神分裂症的老年人对自身身体健康状况的理解。该研究在来自不同环境的28名患有精神分裂症的老年人中开展，采用了半结构化访谈和参与观察法。精神科和非精神科药物的自我管理及其对参与者健康状况的影响是该研究中出现的核心主题之一。研究确定了不同的药物依从性风格，并介绍了与每种风格相关的因素。这些发现为旨在促进患有精神分裂症的老年人药物依从性的临床干预设计提供了见解。
