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与抗精神病药物副作用共存:澳大利亚心理健康消费者的经历。

Living with antipsychotic medication side-effects: the experience of Australian mental health consumers.

作者信息

Morrison Paul, Meehan Tom, Stomski Norman Jay

机构信息

School of Health Professions, Murdoch University, Perth, Western Australia.

School of Medicine, University of Queensland, Brisbane, Queensland, Australia.

出版信息

Int J Ment Health Nurs. 2015 Jun;24(3):253-61. doi: 10.1111/inm.12110. Epub 2014 Dec 22.

Abstract

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.

摘要

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。

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