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特定干预措施对精神疾病患者治疗依从性的有效性:一项试点研究。

Effectiveness of specific intervention on treatment adherence of persons with mental illness: A pilot study.

作者信息

Ahmed Nurnahar, Gandhi Sailaxmi, Baruah Arunjyoti

机构信息

Department of Psychiatric Nursing, LGB Regional Institute of Mental Health, Tezpur, Assam, India.

Department of Nursing, NIMHANS, Bengaluru, Karnataka, India.

出版信息

Indian J Psychiatry. 2015 Oct-Dec;57(4):403-6. doi: 10.4103/0019-5545.171845.

Abstract

CONTEXT

Treatment nonadherence is one of the major obstacles in recovery even with the availability of a broad range of pharmacological and psychosocial treatments for persons with mental illnesses.

AIMS

The aim was to evaluate the effectiveness of specific interventions in improvement of treatment adherence of persons with mental illnesses.

SETTINGS AND DESIGN

A quasi-experimental study was conducted at a tertiary mental health care setting in North-east India.

MATERIALS AND METHODS

Total 30 numbers of patients were selected randomly for the study. Treatment adherence was assessed using the Medication Adherence Rating Scale and a structured Treatment Adherence Checklist. Data were collected before and 1-month after the specific interventions to the patients and their family members.

RESULTS

Result showed a significant improvement in the treatment adherence as verbalized by the patient (paired t = 3.973, P = 0.00, df = 29) as well as reported by the family members (paired t = 2.94, P = 0.00, df = 29) following the specific intervention.

CONCLUSION

The study result suggested that specific intervention may be used for a better outcome of treatment for mental illnesses. The findings might be generalized following implementation of the intervention to a larger sample.

摘要

背景

即使有针对精神疾病患者的广泛药物和心理社会治疗方法,治疗不依从仍是康复的主要障碍之一。

目的

旨在评估特定干预措施对改善精神疾病患者治疗依从性的有效性。

设置与设计

在印度东北部的一家三级精神卫生保健机构进行了一项准实验研究。

材料与方法

总共随机选择30名患者进行研究。使用药物依从性评定量表和结构化治疗依从性检查表评估治疗依从性。在对患者及其家属进行特定干预之前和之后1个月收集数据。

结果

结果显示,经过特定干预后,患者自述的治疗依从性有显著改善(配对t = 3.973,P = 0.00,自由度 = 29),家属报告的情况也是如此(配对t = 2.94,P = 0.00,自由度 = 29)。

结论

研究结果表明,特定干预措施可能用于改善精神疾病的治疗效果。在对更大样本实施干预后,这些发现可能具有普遍性。

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本文引用的文献

1
Suboptimal treatment adherence in bipolar disorder: impact on clinical outcomes and functioning.
Patient Prefer Adherence. 2013;7:89-94. doi: 10.2147/PPA.S39290. Epub 2013 Jan 18.
3
Promoting adherence to psychotropic medication for youth-part 2.
J Psychosoc Nurs Ment Health Serv. 2010 Dec;48(12):22-6. doi: 10.3928/02793695-20101102-01. Epub 2010 Nov 22.
4
Attitudes and beliefs of patients of first episode depression towards antidepressants and their adherence to treatment.
Soc Psychiatry Psychiatr Epidemiol. 2009 Jun;44(6):482-8. doi: 10.1007/s00127-008-0468-0. Epub 2008 Nov 13.
5
A large-scale validation study of the Medication Adherence Rating Scale (MARS).
Schizophr Res. 2008 Mar;100(1-3):53-9. doi: 10.1016/j.schres.2007.10.029. Epub 2007 Dec 20.
6
The use of individually tailored environmental supports to improve medication adherence and outcomes in schizophrenia.
Schizophr Bull. 2008 May;34(3):483-93. doi: 10.1093/schbul/sbm111. Epub 2007 Oct 10.
8
Schizophrenia and suicide: systematic review of risk factors.
Br J Psychiatry. 2005 Jul;187:9-20. doi: 10.1192/bjp.187.1.9.
9
Do fixed-dose combination pills or unit-of-use packaging improve adherence? A systematic review.
Bull World Health Organ. 2004 Dec;82(12):935-9. Epub 2005 Jan 5.
10
Partial compliance and risk of rehospitalization among California Medicaid patients with schizophrenia.
Psychiatr Serv. 2004 Aug;55(8):886-91. doi: 10.1176/appi.ps.55.8.886.

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