Morrison Paul, Meehan Tom, Stomski Norman Jay
School of Health Professions, Murdoch University, Perth, Western Australia.
School of Medicine, University of Queensland, Brisbane, Queensland, Australia.
Int J Ment Health Nurs. 2015 Jun;24(3):253-61. doi: 10.1111/inm.12110. Epub 2014 Dec 22.
The present study explores people's experience of living with antipsychotic medication side-effects. Qualitative data were gathered through semistructured interviews with 10 mental health consumers in a community care setting in Australia. The interview transcriptions were content analysed, and enhanced by combining manifest and latent content. Important contextual cues were identified through replaying the audio-recordings. Several main themes emerged from the analysis, including the impact of side-effects, attitudes to the use of medication and side-effects, and coping strategies to manage medication side-effects. Each participant reported between six and seven side-effects on average, which were often pronounced and had a major disruptive impact on their lives. Of these effects, the most commonly mentioned was sedation, which the participants described as leaving them in a 'zombie'-like state. Most participants expressed an attitude of acceptance about the side-effects. The participants' most common strategy to manage side-effects was to change the dosage of the medication. Other common side-effect management strategies involved using other medications to control side-effects, and diverse self-help techniques, the most common of which was relaxation/distraction techniques.
本研究探讨了人们在服用抗精神病药物副作用下的生活体验。通过对澳大利亚社区护理机构的10名心理健康服务使用者进行半结构化访谈收集了定性数据。对访谈转录内容进行了内容分析,并通过结合显性内容和隐性内容进行了强化。通过重放录音识别出重要的背景线索。分析得出了几个主要主题,包括副作用的影响、对药物使用和副作用的态度,以及应对药物副作用的策略。每位参与者平均报告了6至7种副作用,这些副作用通常很明显,对他们的生活产生了重大干扰。在这些副作用中,最常提到的是镇静作用,参与者将其描述为使他们处于“僵尸”般的状态。大多数参与者对副作用表达了接受的态度。参与者管理副作用最常见的策略是改变药物剂量。其他常见的副作用管理策略包括使用其他药物来控制副作用,以及各种自助技巧,其中最常见的是放松/分散注意力技巧。