药剂师主导的Si-care (精神分裂症护理) 模式,以改善精神分裂症患者的药物坚持和症状管理
Noor Cahaya1,2, Susi Ari Kristina3, Anna Wahyuni Widayanti3
1Doctoral Program in Pharmacy, Faculty of Pharmacy, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Exploratory research in clinical and social pharmacy
|December 17, 2024
概括
通过药剂师主导的家庭访问,Si-Care计划显著改善了精神分裂症患者的药物坚持. 虽然症状严重程度没有显著变化,但干预有助于保持症状稳定.
科学领域:
- 药理学 药理学是指药理学的学科.
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 精神分裂症需要长期的抗精神病治疗.
- 药物不服药是常见的,导致复发和糟糕的结果.
- "Si-Care"计划是一个由药剂师主导的家庭干预措施,以提高药物遵守率.
研究的目的:
- 为了评估Si-Care干预的有效性.
- 为了评估药物坚持的改善.
- 确定对精神分裂症患者症状稳定性的影响.
主要方法:
- 在印度尼西亚三个社区卫生中心进行的准实验性研究.
- 57名参与者接受了为期4个月的干预,包括7次药剂师家访.
- 在干预前和后测量了药物坚持 (药丸计数) 和症状严重程度 (PANSS).
主要成果:
- 药物坚持从77.38%显著增加到97.57% (p=0.000).
- 症状严重程度 (PANSS评分) 在统计学上没有显著下降 (p=0.089).
- 症状保持稳定,表明有效的症状管理.
结论:
- Si-Care干预有效地改善了精神分裂症患者的药物坚持.
- 药剂师主导的家庭干预对于解决坚持挑战是有价值的.
- 未来的研究应该探索可持续性,可扩展性和在各种环境中的适用性.
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