精神病医院重新入院患者的药物不服药:一种定性研究
Gopolang E Zwide1, Zukiswa Tsolekile Dewet1, Funeka B Sokudela1
1Department of Psychiatry, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
概括
在精神卫生保健中,不服药是很常见的,通常是由于药物滥用,缺乏家庭支持和健康素养不佳. 解决这些因素对于预防复发和重新住院至关重要.
科学领域:
- 精神病学和心理健康研究研究
- 公共卫生和流行病学
- 质量健康研究 质量健康研究
背景情况:
- 药物不服药影响了大约65%的严重精神疾病患者.
- 不遵守导致心理健康结果恶化,包括复发和重新住院.
- 不良的坚持显著增加医疗保健成本.
研究的目的:
- 探索重新入院的精神病患者不服药背后的原因.
- 了解患者对影响精神病治疗药物的因素的看法.
主要方法:
- 使用社会建设主义范式的探索性定性研究.
- 针对15名精神病患者进行了有目的的抽样.
- 数据通过半结构面试收集,录音,转录,并使用接地理论原则进行主题分析.
主要成果:
- 不遵守的关键原因包括药物滥用,家庭支持不足和健康素养低.
- 确定了其他促成因素:药物副作用,医疗保健系统问题,财务限制和关于疾病的精神信仰.
- 这些多重因素共同导致复发和再入院.
结论:
- 患者不遵守精神病药物是多因素的,直接导致复发和重入医院.
- 临床医生必须认识到这些促成因素,以有效地预防复发和再入院.
- 积极识别有风险的患者和有针对性的干预措施对于改善药物服药能力至关重要.
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