Bipolar affective disorder and medication therapy: identifying barriers

Miasso, Adriana Inocenti; Cassiani, Silvia Helena De Bortoli; Pedrão, Luiz Jorge

doi:10.1590/s0104-11692008000400014

Cited by 8 publications

(10 citation statements)

References 9 publications

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“…The literature points out that men and women are equally likely to develop this disorder. The fact that there is a greater number of women undergoing treatment for BD control may be due to women more often seeking healthcare assistance and adhering to treatment better than men (8) .…”

Section: Discussionmentioning

confidence: 99%

“…Adherence to drug therapy is a subject of interest for the literature, since it is a factor that can be potentially modified in order to improve patients' prognosis (3,8) .…”

Section: Introductionmentioning

confidence: 99%

“…The whole context shows that adherence to treatment (3)(4)8) , knowledge about the drug therapy (6)(7)(8) and serum monitoring of lithium carbonate levels (9,(10)(11)(12) are essential for the safety of patients who make use of this medication. These aspects are strictly related to the nursing practice, which plays a unique role in patients' For the collection of data, a review of medical records and structured interviews were performed, using a guide developed by the authors of the study with questions about socio-demographic information and patients' treatment, as well as a test evaluating patients' adherence to drug therapy (13) including lithium carbonate, and a scale to evaluate the interviewees' knowledge concerning the prescribed drug therapy (14) .…”

Section: Introductionmentioning

confidence: 99%

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Bipolar disorder and medication: adherence, patients' knowledge and serum monitoring of lithium carbonate

Souza

Vedana

Mercedes

et al. 2013

Rev. Latino-Am. Enfermagem

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Objectives: this study featured patients with affective bipolar disorder who were making use of lithium and received care at an outpatient care center located in a country town in the state of Sao Paulo in 2009; it assessed the adherence and knowledge of these patients in relation to the medication prescribed to them and verified the proportion of blood tests performed per year in the service, for each individual, to measure lithium levels in the blood. Method: descriptive study with quantitative approach, involving 36 participants. Structured interviews and review of medical records were used for data collection and descriptive statistics for data analysis. Results: difficulties in reporting the dosage of the medication prescribed and a high rate of non-adherence were identified among the participants. None of the participants in the study was submitted to two tests a year to measure lithium levels in the blood, which is the minimum proportion of tests recommended by the literature for maintenance treatment using lithium carbonate. Conclusion: this study highlights the critical factors for the promotion of patients' safety in monitoring lithium drug therapy.

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Section: Discussionmentioning

confidence: 99%

“…Adherence to drug therapy is a subject of interest for the literature, since it is a factor that can be potentially modified in order to improve patients' prognosis (3,8) .…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Bipolar disorder and medication: adherence, patients' knowledge and serum monitoring of lithium carbonate

Souza

Vedana

Mercedes

et al. 2013

Rev. Latino-Am. Enfermagem

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“…However, a common problem in BAD treatment is that patients do not always take medications regularly. This aspect is relevant for health professionals, as non adherence c a n i n c r e a s e t h e r e c u r r e n c e o f m a n i a , t h e frequency of depressive episodes, hospitalizations and suicides, compromising the quality of life of patients and relatives and increasing costs for the health system (4)(5) .…”

Section: Introductionmentioning

confidence: 99%

Bipolar affective disorder: medication adherence and satisfaction with treatment and guidance by the health team in a mental health service

Miasso

Monteschi

Giacchero

2009

Rev. Latino-Am. Enfermagem

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“…In mental health, recent studies have also inferred that patients' critical sense and/or knowledge about their disease should be preserved as protective factors for treatment maintenance and health care, indicating, on the other hand, denial of or ambivalence towards the disease and treatment as a predictive condition of treatment failure and low adherence (11)(12) .…”

mentioning

confidence: 99%

Adherence level and knowledge about psychopharmacological treatment among patients discharged from psychiatric internment

Cardoso

Miasso

Galera

et al. 2011

Rev. Latino-Am. Enfermagem

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This exploratory, descriptive and prospective study aimed to identify the degree of adherence to psychopharmacological treatment of patients who were discharged from psychiatric hospitalization and their knowledge about their prescription and diagnosis. The study was carried out at a Mental Health Service. The sample consisted of all service clients who were discharged from psychiatric hospitalization in the data collection period. A Sociodemographic Grado de adhesión y conocimiento sobre tratamiento psicofarmacológico entre pacientes egresados de internación psiquiátricaEl objetivo de este trabajo fue identificar el grado de adhesión al tratamiento psicofarmacológico de los pacientes egresados de internación psiquiátrica y evaluar su conocimiento en cuanto a su prescripción y diagnóstico. Se trata de un estudio exploratorio, descriptivo, prospectivo, realizado en un Núcleo de Salud Mental. La muestra fue compuesta por todos los clientes de este servicio que tuvieron alta de internación psiquiátrica en el período de recolección siendo utilizado un Cuestionario sociodemográfico y la Prueba de Adhesión de Morisky-Green como instrumentos. Los datos fueron analizados por medidas de tendencia central. Hicieron parte de la muestra 48 pacientes; en relación a la adhesión, se observó que 70,8% de ellos fueron clasificados con bajo grado de adhesión al tratamiento psicofarmacológico. Además de eso, apenas veintiún pacientes sabían informar cual era su diagnóstico y la mayoría de ellos no sabía o sabía parcialmente el nombre y dosis de todos los medicamentos que le fueron prescritos.Descriptores: Adhesión a las Directivas Anticipadas; Hospitalización; Salud Mental; Evaluación en Enfermería; Enfermería Psiquiátrica; Adherencia a la Medicación.

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Bipolar affective disorder and medication therapy: identifying barriers

Cited by 8 publications

References 9 publications

Bipolar disorder and medication: adherence, patients' knowledge and serum monitoring of lithium carbonate

Bipolar disorder and medication: adherence, patients' knowledge and serum monitoring of lithium carbonate

Bipolar affective disorder: medication adherence and satisfaction with treatment and guidance by the health team in a mental health service

Adherence level and knowledge about psychopharmacological treatment among patients discharged from psychiatric internment

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