Ahmed Nurnahar, Gandhi Sailaxmi, Baruah Arunjyoti
Department of Psychiatric Nursing, LGB Regional Institute of Mental Health, Tezpur, Assam, India.
Department of Nursing, NIMHANS, Bengaluru, Karnataka, India.
Indian J Psychiatry. 2015 Oct-Dec;57(4):403-6. doi: 10.4103/0019-5545.171845.
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.
The aim was to evaluate the effectiveness of specific interventions in improvement of treatment adherence of persons with mental illnesses.
A quasi-experimental study was conducted at a tertiary mental health care setting in North-east India.
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.
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.
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.
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。
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。
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。
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)。
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。