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Primary caregivers experience of anti-psychotic medication: A qualitative study.主要照料者对抗精神病药物的体验:一项定性研究。
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中国精神分裂症患者家庭照顾者对抗精神病药物相关副作用的认知:一项定性研究

Perceptions of Family Caregivers of Patients with Schizophrenia Towards Antipsychotics Associated Side-Effects in China:A Qualitative Study.

作者信息

Zhou Hang, Ma Fang, Zhang Yi, Tan Youqin, Bai Yangjuan, Hu Qiulan, Wei Wei, Wang Yanjiao

机构信息

Department of Psychiatry, The First Affiliated Hospital of Kunming Medical University, Kunming, People's Republic of China.

Department of Nursing, The First Affiliated Hospital of Kunming Medical University, Kunming, People's Republic of China.

出版信息

Patient Prefer Adherence. 2022 Aug 17;16:2171-2179. doi: 10.2147/PPA.S372487. eCollection 2022.

DOI:10.2147/PPA.S372487
PMID:36003799
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9393095/
Abstract

PURPOSE

To explore perceptions of antipsychotics associated side-effects among family caregivers of patients with schizophrenia.

PATIENTS AND METHODS

A descriptive qualitative study was applied in a tertiary referral hospital in China. Purposeful sampling of 18 family caregivers of patients with schizophrenia were interviewed about their perceptions towards antipsychotics related side effects.

RESULTS

According to content analysis, three themes emerged from the data: (a) nightmare in the treatment with the categories of sleep disturbances; physical impairment; appearance impairment; (b) opposite attitudes toward side-effect with the categories of being vigilant; do not care; (c) diverse ways of coping side-effects with the categories of asking for help from professionals; self-determined; try any quack's prescription.

CONCLUSION

The side effects of antipsychotics not only damage the health of patients, but also increase the burden and stress of caregivers. However, caregivers have different attitudes and coping styles about the side effects of antipsychotics. Health professionals should be aware of the influence of individual background and cultural factors on caregivers' attitudes towards drug side effects. Furthermore, health professionals should also provide caregivers with knowledge about drug side effects, coping skills, and appropriate management strategies to promote health outcomes for people with schizophrenia.

摘要

目的

探讨精神分裂症患者家庭照料者对抗精神病药物相关副作用的认知。

患者与方法

在中国一家三级转诊医院开展了一项描述性定性研究。对18名精神分裂症患者的家庭照料者进行了目的抽样访谈,了解他们对抗精神病药物相关副作用的认知。

结果

根据内容分析,数据中出现了三个主题:(a)治疗中的噩梦,包括睡眠障碍、身体损伤、外貌损伤等类别;(b)对副作用的相反态度,包括警惕、不在乎等类别;(c)应对副作用的不同方式,包括向专业人员求助、自行决定、尝试任何江湖郎中的药方等类别。

结论

抗精神病药物的副作用不仅损害患者健康,还增加了照料者的负担和压力。然而,照料者对抗精神病药物副作用有不同的态度和应对方式。卫生专业人员应意识到个体背景和文化因素对照料者对药物副作用态度的影响。此外,卫生专业人员还应向照料者提供有关药物副作用的知识、应对技巧和适当的管理策略,以促进精神分裂症患者的健康结局。