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长效注射用抗精神病药物的患者体验:一项定性研究。

Patients' experiences of long-acting injectable antipsychotics: a qualitative study.

作者信息

Chiu Lin-Ling, Liu Chun-Hao, Chu Chun-Lin, Lin Huang-Li, Lii Shu-Chung

机构信息

School of Medicine, Collage of Medicine, Chang Gung University, Taoyuan, Taiwan.

Department of Psychiatry, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.

出版信息

Neuropsychiatr Dis Treat. 2019 Jul 3;15:1797-1804. doi: 10.2147/NDT.S206154. eCollection 2019.

Abstract

BACKGROUND

In this study, we applied a qualitative approach to explore patients' subjective experiences of long-acting injectable antipsychotics (LAIs).

METHODS

Patients undergoing psychiatric treatment from the chronic ward or outpatient department of a medical center in northern Taiwan who had experience with LAI treatment were enrolled. Information was obtained through semi-structured in-depth interviews. The interviews were audio-recorded and then translated verbatim, and the data were collected and analyzed concurrently to develop major themes and categories.

RESULT

In total, 14 participants (8 female) were interviewed. In a bio-psycho-social model, the participants used LAIs as a method to become "normal," in order to achieve a balance between the "effects" and "side effects" that may influence their daily lives. Their past experiences constructed their concepts about and expectations regarding LAIs, and their relationships with their family members and co-workers also modeled their experiences.

CONCLUSION

In our study, we sought to understand the experience of LAI in the daily life context of the patients. We attempted to use a bio-psycho-social model to evaluate the subjective experience of the patients; an improved understanding can help mental health specialists gain a closer insight into patient experience.

摘要

背景

在本研究中,我们采用定性研究方法来探索患者使用长效注射用抗精神病药物(LAIs)的主观体验。

方法

招募来自台湾北部一家医疗中心慢性病房或门诊部且有长效注射用抗精神病药物治疗经历的接受精神科治疗的患者。通过半结构化深度访谈获取信息。访谈进行录音,然后逐字翻译,数据收集与分析同步进行以形成主要主题和类别。

结果

总共采访了14名参与者(8名女性)。在生物 - 心理 - 社会模型中,参与者将长效注射用抗精神病药物作为一种变得“正常”的方法,以便在可能影响其日常生活的“效果”和“副作用”之间取得平衡。他们过去的经历塑造了他们对长效注射用抗精神病药物的概念和期望,他们与家庭成员及同事的关系也塑造了他们的体验。

结论

在我们的研究中,我们试图了解长效注射用抗精神病药物在患者日常生活背景下的体验。我们尝试使用生物 - 心理 - 社会模型来评估患者的主观体验;更好的理解有助于心理健康专家更深入地洞察患者体验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72ed/6613361/f72d19365c35/NDT-15-1797-g0001.jpg

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