Vedana Kelly Graziani Giacchero, Miasso Adriana Inocenti
Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
Rev Lat Am Enfermagem. 2014 Jul-Aug;22(4):670-8. doi: 10.1590/0104-1169.3427.2466.
to understand the meaning of medication therapy for schizophrenic patients and formulate a theoretical model about the study phenomenon.
a qualitative approach was employed, using Symbolic Interactionism as the theoretical and Grounded Theory as the methodological framework. The research was developed between 2008 and 2010 at three community mental health services in the interior of the State of São Paulo - Brazil. Thirty-six patients and thirty-six family members were selected through theoretical sampling. The data were mainly collected through open interviews and observation and simultaneously analyzed through open, axial and selective coding.
the meaning of the pharmacotherapy is centered on the phenomenon "Living with a help that bothers", which expresses the patients' ambivalence towards the medication and determines their decision making. The insight, access, limitations for self-administration of the drugs and interactions with family members and the health team influenced the patient's medication-related behavior.
the theory presented in this study provides a comprehensive, contextualized, motivational and dynamic understanding of the relation the patient experiences and indicates potentials and barriers to follow the medication treatment.
了解精神分裂症患者药物治疗的意义，并构建一个关于该研究现象的理论模型。
采用质性研究方法，以符号互动理论为理论基础，扎根理论为方法框架。该研究于2008年至2010年在巴西圣保罗州内陆的三个社区心理健康服务机构开展。通过理论抽样选取了36名患者和36名家庭成员。数据主要通过开放式访谈和观察收集，并同时通过开放式、轴心式和选择性编码进行分析。
药物治疗的意义集中在“带着困扰的帮助生活”这一现象上，该现象表达了患者对药物的矛盾心理，并决定了他们的决策。洞察力、获取药物的途径、自我给药的限制以及与家庭成员和医疗团队的互动影响了患者与药物相关的行为。
本研究提出的理论对患者所经历的关系提供了全面、情境化、具有动机性和动态性的理解，并指出了药物治疗的潜力和障碍。
