Borba Letícia de Oliveira, Maftum Mariluci Alves, Vayego Stela Adami, Mantovani Maria de Fátima, Felix Jorge Vinícius Cestari, Kalinke Luciana Puchalski
Universidade Federal do Paraná, Hospital de Clínicas, Curitiba, PR, Brasil.
Universidade Federal do Paraná, Programa de Pós-Graduação em Enfermagem, Curitiba, PR, Brasil.
Rev Esc Enferm USP. 2018 Jun 25;52:e03341. doi: 10.1590/S1980-220X2017006603341.
To assess the adherence of mental disorder patients to drug therapy for mental health treatment and the association between demographic, socioeconomic, clinical and pharmacotherapeutic variables to treatment adherence.
A cross-sectional study conducted with mental disorder patients in two Psychosocial Care Centers in Curitiba/Paraná in 2014. Data from structured interviews and medical records were submitted to descriptive and bivariate analysis.
300 patients with mental disorders participated in the study. 51% of participants adhered to the drug therapy, the highest adherence was among males with no family history of mental disorder, diagnosed with schizophrenia, with disease duration of less than 1 year, who did not forget to take the medicine not even once in the previous month and who relied on family participation. Adherence was lower among the interviewees with individual income lower than one minimum wage, perception of regular and poor health, diagnosis of depression associated with another disorder, treatment time in the service over 2 years and with a history of attempted suicide.
Low adherence to the drug therapy was observed. The variables associated with adherence were gender, individual income, family history of mental disorder, perception about their health, diagnosis of mental disorder, duration of illness and treatment, suicide attempt, failing to take the medication at least once in the previous month and family participation.
评估精神障碍患者对心理健康治疗药物治疗的依从性，以及人口统计学、社会经济、临床和药物治疗变量与治疗依从性之间的关联。
2014年在巴拉那州库里蒂巴的两个心理社会护理中心对精神障碍患者进行了一项横断面研究。来自结构化访谈和病历的数据进行了描述性和双变量分析。
300名精神障碍患者参与了研究。51%的参与者坚持药物治疗，依从性最高的是没有精神障碍家族史、被诊断为精神分裂症、病程少于1年、前一个月从未忘记服药且有家庭参与的男性。个人收入低于一份最低工资、自我感觉健康状况一般或较差、诊断为与其他疾病相关的抑郁症、在该机构治疗时间超过2年以及有自杀未遂史的受访者依从性较低。
观察到药物治疗的依从性较低。与依从性相关的变量包括性别、个人收入、精神障碍家族史、对自身健康的认知、精神障碍诊断、病程和治疗时间、自杀未遂、前一个月至少有一次未服药以及家庭参与情况。
