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探索南澳大利亚社区中精神健康客户当前的药物知识、信念以及与医疗保健提供者的经验。

Exploring mental health clients' current medication knowledge, beliefs and experience with healthcare providers in the community in South Australia.

机构信息

UniSA Clinical and Health Sciences, University of South Australia, Adelaide, South Australia, Australia.

Mental Health and Suicide Prevention Research Group, University of South Australia, Adelaide, South Australia, Australia.

出版信息

Health Soc Care Community. 2022 Nov;30(6):e5968-e5978. doi: 10.1111/hsc.14029. Epub 2022 Sep 23.

Abstract

In Australia, mental illness has been recognised as a National Health Priority area, with the coronavirus pandemic adding a layer of urgency to the need to address the multiple health problems faced by clients with mental illnesses. Whilst much has been done in efforts to support these clients, little is known about their medication knowledge and experience with health professionals. The aim of the study was to explore the knowledge and beliefs of clients on the use of psychotropic medications and study their experiences with healthcare providers. Adult participants at a not-for-profit community-managed specialist mental health service provider in Adelaide, South Australia were recruited. Four focus group sessions were conducted between February 2020 and March 2021. All sessions were co-facilitated by a peer practitioner with lived experience. Sessions were audio recorded and transcribed verbatim. Participants (n = 27) reported that provision of medication education was inadequate and, in some cases, non-existent. There was an apparent lack of support for monitoring and managing common side effects, such as weight gain. Participants described not being involved in any decision-making processes and that establishing and maintaining a therapeutic relationship with their healthcare providers was challenging. Perceived stigma remains a barrier in accessing healthcare. Despite participants regularly interacting with a range of healthcare providers, findings highlight key gaps in care, particularly medication education and establishing a therapeutic relationship with their healthcare providers. Future mental health reforms should consider the provision of additional medication education in community settings, such as at not-for-profit organisations. Moreover, healthcare providers should take a proactive approach in establishing therapeutic relationships.

摘要

在澳大利亚,精神疾病已被确认为国家卫生重点领域,由于冠状病毒大流行,解决患有精神疾病的客户面临的多种健康问题的紧迫性进一步增加。虽然已经采取了许多措施来支持这些客户,但对于他们的药物知识和与卫生专业人员的经验却知之甚少。本研究旨在探讨客户对精神药物使用的知识和信念,并研究他们与医疗保健提供者的经验。在南澳大利亚阿德莱德的一家非营利社区管理的专业精神卫生服务提供商招募了成年参与者。在 2020 年 2 月至 2021 年 3 月期间进行了四次焦点小组会议。所有会议均由具有亲身体验的同行从业者共同主持。会议进行了录音,并逐字记录了文字。参与者(n=27)报告说,提供药物教育是不充分的,在某些情况下甚至不存在。在监测和管理体重增加等常见副作用方面明显缺乏支持。参与者表示没有参与任何决策过程,并且与他们的医疗保健提供者建立和维持治疗关系具有挑战性。感知到的耻辱感仍然是获得医疗保健的障碍。尽管参与者经常与各种医疗保健提供者互动,但研究结果突出了护理方面的关键差距,特别是药物教育和与他们的医疗保健提供者建立治疗关系。未来的精神健康改革应考虑在社区环境中提供额外的药物教育,例如在非营利组织中提供。此外,医疗保健提供者应采取主动措施建立治疗关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9988/10086827/d85b526dca46/HSC-30-e5968-g001.jpg

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