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抗精神病药物的觉醒:呼吁采取行动
Patricia E Deegan1, Allison Stiles1, Missy Rufo1
1Pat Deegan and Associates, LLC.
Psychiatric rehabilitation journal
|April 4, 2024
概括
对于患有严重精神疾病 (SMI) 的人来说,了解抗精神病药物的实践经验至关重要. 精神康复从业者可以赋予患者表达关切的权力,并对他们的治疗做出明智的选择.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 心理健康服务研究 心理健康服务研究
背景情况:
- 抗精神病药物是管理严重精神疾病 (SMI) 的核心.
- 患者对抗精神病药物使用的看法对于有效的治疗和康复至关重要.
- 在精神病治疗中,共享决策需要理解患者的担忧和经历.
研究的目的:
- 从患者的角度探索抗精神病药物的实践经验.
- 确定与SMI中抗精神病药物使用相关的常见问题和挑战.
- 倡导精神康复从业者积极参与患者在药物治疗决策.
主要方法:
- 一个关于开始服用抗精神病药物的第一人称叙述.
- 从CommonGround数据库 (n=57,370) 中分析了患者报告的未被识别的担忧.
- 检查SMI人口中不同年龄组的担忧.
主要成果:
- 生活经验揭示了由于抗精神病药物而导致的体现和感知自我变化.
- 临床和个人康复目标之间的不一致影响了治疗坚持.
- 最主要的担忧包括缺乏帮助 (21%),副作用 (13%),健康影响 (12%) 和低动机 (8%).
- 观察到与年龄相关的担忧差异,年轻的用户优先考虑动机和老年用户的健康影响.
结论:
- 精神科康复从业者在为SMI患者准备有关抗精神病药物的共享决策方面发挥着关键作用.
- 解决患者的担忧和培养谈判技巧对于管理"我对药"经验至关重要.
- 赋予患者表达他们的经历的权力,促进了协作治疗规划,并提高了康复结果.
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