Alasmee Nofaa, Hasan Abd Alhadi
Fakeeh College for Medical Sciences, Alhamra District, Palestine Street, Jeddah, Saudi Arabia.
Fakeeh College for Medical Sciences, Alhamra District, Palestine Street, Jeddah, Saudi Arabia.
Arch Psychiatr Nurs. 2020 Dec;34(6):520-528. doi: 10.1016/j.apnu.2020.09.002. Epub 2020 Sep 9.
Management of schizophrenia is now shifted to the community setting and family caregivers are the primary caregivers. Managing medications is a complex responsibility of family caregivers caring for patients with mental illness. Medication compliance contributes to improve health outcomes and reduced hospitalization for the care service users; however, little is known about attitudes and perception of family caregivers.
To explore family caregivers experience towards antipsychotic medications.
A purposeful sampling of 21 family caregivers was included in the study. Semi-structured interview was employed to collect data from the participants between May and October 2015. Thematic analysis approach was used to identify the common pattern in the data.
Four main themes emerged from the study: insight into illness (poor understanding of illness), treatment factor (thinking about medication, poor guidance for medication compliance), resources and support (availability of medication and cost of medication), health care provider factors (communication gap and poor assessment with follow-up, social dysfunction (social isolation, disruption in life routine) of the primary caregivers.
Responsibility for providing care for patients with mental illness are taken place in the community setting and cared by family caregivers. More information resources are required for this role, which requires specific medication management skills and knowledge.
精神分裂症的管理目前已转向社区环境,家庭照顾者是主要照顾者。管理药物是照顾精神疾病患者的家庭照顾者的一项复杂职责。药物依从性有助于改善护理服务使用者的健康状况并减少住院次数;然而,对于家庭照顾者的态度和认知了解甚少。
探讨家庭照顾者对抗精神病药物的体验。
本研究采用目的抽样法,纳入了21名家庭照顾者。2015年5月至10月期间,采用半结构式访谈从参与者中收集数据。采用主题分析法确定数据中的共同模式。
该研究出现了四个主要主题:对疾病的洞察(对疾病了解不足)、治疗因素(对药物的看法、药物依从性指导不足)、资源与支持(药物的可获得性和药物成本)、医疗保健提供者因素(沟通差距以及随访评估不佳)、主要照顾者的社会功能障碍(社会隔离、生活规律紊乱)。
为精神疾病患者提供护理的责任在社区环境中落实,由家庭照顾者负责。担任这一角色需要更多信息资源,这需要特定的药物管理技能和知识。