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告知抗精神病药物诱导的体重增加管理指南的发展:患者的经验和偏好 - 定性描述性研究
Ita Fitzgerald1, Erin K Crowley2, Ciara Ní Dhubhlaing3
1Pharmacy Department, St Patrick's Mental Health Services, Dublin, Ireland; and Pharmaceutical Care Research Group, School of Pharmacy, University College Cork, Cork, Ireland.
BJPsych open
|August 1, 2024
概括
患者更喜欢抗精神病诱导体重增加 (AIWG) 的协作管理,强调早期干预和定制策略,而不是简单的,适合所有人的方法. 指导应纳入患者的价值观,以有效地管理AIWG.
科学领域:
- 精神病学是一个精神病学.
- 药理学 药理学是指药理学的学科.
- 肥胖问题研究研究
背景情况:
- 抗精神病药物诱导的体重增加 (AIWG) 在精神病患者中显著导致肥胖.
- 目前对AIWG的管理指南缺乏患者的意见和关于价值观和偏好的经验数据.
- 社会文化价值观可能会影响AIWG建议中的干预适当性和自我管理期望.
研究的目的:
- 探索患者在管理不需要的AIWG方面的经验.
- 为了引起患者的价值观和对AIWG管理策略的偏好.
主要方法:
- 定性描述性研究设计.
- 与17名参与者进行半结构面试.
- 用于数据解释的反思性主题分析.
主要成果:
- 临床医生经常高估了AIWG仅通过饮食和生活方式改变来管理的可能性.
- 患者面临的挑战是获得替代干预措施,如抗精神病变化或药理学补充剂.
- 目前的AIWG指南被认为过于简单,缺乏具体性,并采用"适合所有人"的方法来处理异质的副作用.
结论:
- 联合制作的管理指南对AIWG至关重要.
- 整合患者的价值观和偏好,确保了指南的相关性和适用性.
- 首选的是定制的协作管理,优先考虑早期干预,采用各种基于证据的策略.
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