居住在波多黎各的拉丁裔双相情感障碍患者不坚持服用精神科药物及心血管危险因素治疗的原因：一项定性研究。
Reasons for Nonadherence to Psychiatric Medication and Cardiovascular Risk Factors Treatment Among Latino Bipolar Disorder Patients Living in Puerto Rico: A Qualitative Study.
作者信息
Ralat Sandra I, Depp Colin A, Bernal Guillermo
机构信息
Department of Psychiatry, School of Medicine, University of Puerto Rico, Medical Sciences Campus, P.O. Box 365067, San Juan, PR, 00936-5067, USA.
Department of Psychiatry, University of California, San Diego, USA.
出版信息
Community Ment Health J. 2018 Aug;54(6):707-716. doi: 10.1007/s10597-017-0202-z. Epub 2017 Nov 10.
Abstract
Latinos with bipolar disorder (BD) have a high rate of nonadherence to psychiatric medication and treatment for other medical conditions such as cardiovascular disease (CVD) risk factors than non-Latinos with BD. The aim of this study is to identify patients' perspectives on the reasons for nonadherence to psychiatric medication and for CVD risk factors conditions in outpatients with BD. Three focus group sessions were held for a total of 22 adults ranging from 23 to 60 years old. Participants had BD, Type I/II and CVD risk factors. Audio-recordings of focus groups were transcribed and a content analysis was performed. Reasons identified as barriers to adherence were somewhat different for BD medications in comparison to CVD risk factors suggesting the need for integrated interventions targeting these barriers to adherence for both BD and CVD risk factors.
摘要
与患有双相情感障碍（BD）的非拉丁裔相比，患有BD的拉丁裔对精神科药物治疗以及心血管疾病（CVD）等其他疾病风险因素的治疗的不依从率更高。本研究的目的是确定门诊BD患者对不坚持服用精神科药物以及CVD风险因素情况的原因的看法。共举办了三次焦点小组会议，共有22名年龄在23至60岁之间的成年人参加。参与者患有I/II型BD和CVD风险因素。焦点小组的录音被转录，并进行了内容分析。与CVD风险因素相比，被确定为BD药物依从性障碍的原因有所不同，这表明需要针对BD和CVD风险因素的这些依从性障碍进行综合干预。
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