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服用抗精神病药物:综述

Taking neuroleptic medications: a review.

作者信息

Usher K, Happell B

机构信息

Department of Nursing Sciences, James Cook University, Townsville, Qld, Australia.

出版信息

Aust N Z J Ment Health Nurs. 1997 Mar;6(1):3-10.

PMID:9214854
Abstract

Failure to take neuroleptic medications as prescribed often results in relapse and readmission to a psychiatric facility. It is the responsibility of the psychiatric/mental health nurse to ensure that clients have sufficient knowledge and support to enable them to make informed decisions regarding their medication regimen. In addition, the nurse has an important role as client advocate with regard to this treatment option. However, the issues surrounding noncompliance represent a major challenge to psychiatric/mental health nurses. This paper explores these complex issues surrounding the taking of prescribed neuroleptic medication, in particular, the impact of personal factors, knowledge of neuroleptic medications, therapy factors and the helper relationship upon the medication taking behaviour of psychiatric clients is presented in relation to the literature and recent research findings. Finally, the implications of these factors towards the role of the mental health nurse is discussed.

摘要

不按医嘱服用抗精神病药物往往会导致病情复发并再次入住精神病院。精神科/心理健康护士有责任确保患者具备足够的知识和支持,以便他们能够就自己的药物治疗方案做出明智的决定。此外,在这种治疗选择方面,护士作为患者的倡导者发挥着重要作用。然而,围绕不依从的问题对精神科/心理健康护士来说是一项重大挑战。本文探讨了围绕服用规定抗精神病药物的这些复杂问题,特别是个人因素、抗精神病药物知识、治疗因素以及帮助者与患者关系对精神病患者服药行为的影响,并结合文献和最新研究结果进行阐述。最后,讨论了这些因素对心理健康护士角色的影响。

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