Abstract:The attitude of 50 hospitalized persons with schizophrenia toward taking their medication was examined. Both open-ended and fixed-response estimates of attitude were made. Insight also was measured, and the relationships between insight and attitude and between hallucinations and insight were analyzed. Patients were able to provide information about beliefs and feelings about taking medication and about insight toward illness and treatment. Attitudes varied, and both strongly positive and strongly negative bel… Show more
“…Some studies have mentioned that persons with schizophrenia expressed that they took their medication because they felt forced to by their family or to please their family (Davidhizar et al . ; Roe et al . ).…”
Section: Discussionmentioning
confidence: 99%
“…Donohoe (2006) and Pinikahana et al (2002) also showed that the level and nature of family involvement is generally associated with positive outcomes in treatment adherence. Some studies have mentioned that persons with schizophrenia expressed that they took their medication because they felt forced to by their family or to please their family (Davidhizar et al 1986;Roe et al 2009). In the present study, the participants expressed that they were motivated to maintain medication due to their family support, which they described as being accepting and caring.…”
Medication non-adherence is associated with higher rates of relapse in persons with schizophrenia. Psychiatric nurses play a significant role in facilitating their medication adherence. The motivators which strengthen patients with schizophrenia to maintain their adherence to medication have seldom been explored. This study aims to explore what motivates persons with schizophrenia to consistently maintain their medication adherence. A qualitative approach was used to collect data from a psychiatric day-care centre at an armed forces hospital in Taiwan. Ten clients agreed to undergo an in-depth interview. The data was analyzed by a content analysis method. Four themes were identified: (i) the benefits of antipsychotic medication treatment; (ii) firm and ongoing family support; and the Chinese values of (iii) filial piety and (iv) hope for the future. These findings may provide psychiatric nurses with a better understanding of the motivators for medication adherence in persons with schizophrenia from the Chinese perspective. Nurses will then be able to adjust their practice to facilitate patients' medication adherence.
“…Some studies have mentioned that persons with schizophrenia expressed that they took their medication because they felt forced to by their family or to please their family (Davidhizar et al . ; Roe et al . ).…”
Section: Discussionmentioning
confidence: 99%
“…Donohoe (2006) and Pinikahana et al (2002) also showed that the level and nature of family involvement is generally associated with positive outcomes in treatment adherence. Some studies have mentioned that persons with schizophrenia expressed that they took their medication because they felt forced to by their family or to please their family (Davidhizar et al 1986;Roe et al 2009). In the present study, the participants expressed that they were motivated to maintain medication due to their family support, which they described as being accepting and caring.…”
Medication non-adherence is associated with higher rates of relapse in persons with schizophrenia. Psychiatric nurses play a significant role in facilitating their medication adherence. The motivators which strengthen patients with schizophrenia to maintain their adherence to medication have seldom been explored. This study aims to explore what motivates persons with schizophrenia to consistently maintain their medication adherence. A qualitative approach was used to collect data from a psychiatric day-care centre at an armed forces hospital in Taiwan. Ten clients agreed to undergo an in-depth interview. The data was analyzed by a content analysis method. Four themes were identified: (i) the benefits of antipsychotic medication treatment; (ii) firm and ongoing family support; and the Chinese values of (iii) filial piety and (iv) hope for the future. These findings may provide psychiatric nurses with a better understanding of the motivators for medication adherence in persons with schizophrenia from the Chinese perspective. Nurses will then be able to adjust their practice to facilitate patients' medication adherence.
“…However, different patient groups appear to get insufficient answers. One such group is represented by psychiatric patients ( Davidhizar et al . 1986 , Hansson 1989), although it has been called into question whether psychiatric patients are capable of understanding the information they receive and whether that information actually serves to increase rather than relieve their anxiety ( Brown et al .…”
In the context of an interview study concerned with self-determination in psychiatric patients, this paper describes the preconditions for and consequences of self-determination from the point of view of psychiatric patients themselves. The data were collected in semi-structured interviews with long-term psychiatric patients (n = 72) and analysed using the method of content analysis. Responses on the preconditions for self-determination were grouped into three categories: firstly, there were those who said that reference to self-determination in the case of psychiatric patients is nonsense; secondly, there were those who said that self-determination requires no preconditions; and thirdly, there were those who said that there are certain preconditions, such as the ability to think and make decisions, activity, obedience, and illness. Both positive and negative consequences were identified in situations where self-determination is maintained, but only negative consequences in situations where self-determination is lost. On the basis of these tentative results, self-determination seemed to be relevant in psychiatric nursing. We are continuing to develop and test an instrument for the evaluation of the opportunity for self-determination in clinical practice.
“…Rating scales may help in establishing a baseline of the patient's knowledge and attitudes. Assessment tools include`Knowledge of Medication' (Davidhizar & McBride 1985) and`Attitude Toward Medication' (Davidhizar et al 1986). In order to customize the nursing approach a compliance-orientated history can be established (Cameron 1996).…”
Section: Practice Implications Assessmentmentioning
Non-compliance is a major stumbling block to the effectiveness of drug therapy. The nurse, both in hospital and community, has a crucial role to play in overcoming this problem to the benefit of the patient. Recent treatment advances, 'new-generation' anti-depressants and atypical neuroleptics, make this issue highly topical in mental health nursing. The atypical neuroleptics are a pharmacological breakthrough in the treatment of schizophrenia, which could herald a new era in psychiatry. These medicines give the benefits of the older (typical) neuroleptics but with fewer side-effects. Neuroleptics are sometimes called antipsychotics, antischizophrenics or major tranquillisers. Currently the atypical neuroleptics are not available in depot form. This critical review considers literature on interventions to promote compliance with neuroleptics generally and reflects on nursing implications relevant to the atypical neuroleptics. Three main forms of interventions emerge from the review; these are labelled as: imposed compliance, chosen compliance and active compliance. Historically the literature shows a gradual trend towards a realization by professionals that increased patient autonomy and involvement relates to improved compliance. This change in thinking is reflected in the new name 'adherence', which has begun to replace the term 'compliance'. It is concluded that mental health nurses have a key role to play in enabling this reconceptualization to change practice.
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