"It's Like I'm Living with a Pharmacy": Experiences of Individuals with Severe Mental Disorders Regarding Psychotropic Medication Polypharmacy.

IF 1.4 4区 医学 Q2 NURSING
Issues in Mental Health Nursing Pub Date : 2025-10-01 Epub Date: 2025-09-15 DOI:10.1080/01612840.2025.2544153
Gülsüm Zekiye Tuncer, Zekiye Çetinkaya Duman, Köksal Alptekin
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Abstract

This study aimed to explore the perspectives and experiences of individuals with severe mental disorders regarding psychotropic medication polypharmacy. This study is designed as a descriptive qualitative research involving a sample of 28 individuals with severe mental disorders receiving follow-up care at an adult mental health outpatient clinic of a university hospital in Türkiye between March and December 2024, all of whom were using multiple medications. The inclusion criteria were being an adult diagnosed with schizophrenia or bipolar disorder for at least 12 months and using at least two psychotropic medications for the past two months. Data were collected through in-depth, face-to-face individual interviews. The study data were categorized into six main themes: (1) Disrupted Daily Life Rhythm, (2) Living with Side Effects, (3) Polypharmacy and Illness Perception, (4) Chemicals and Identity, (5) Sustaining Well-being Through Support, and (6) Struggling with the System: Challenges of Medical Procedures. The findings indicate that individuals with severe mental disorders experience significant disruptions in their daily functioning due to polypharmacy, rely on familial and social support to maintain medication adherence, face challenges in complying with healthcare system procedures, and express concerns regarding the psychological and physical effects of psychotropic medications.

“就像我和药房住在一起”:严重精神障碍患者关于精神药物综合用药的经验。
本研究旨在探讨重度精神障碍患者对精神药物综合用药的看法和经验。本研究是一项描述性定性研究,涉及28名严重精神障碍患者的样本,这些患者在2024年3月至12月期间在基耶省一所大学医院的成人精神健康门诊接受随访治疗,所有患者都在使用多种药物。纳入标准是被诊断患有精神分裂症或双相情感障碍至少12个月,并且在过去两个月内至少使用两种精神药物。数据是通过深入、面对面的个人访谈收集的。研究数据分为六个主题:(1)日常生活节奏中断;(2)生活副作用;(3)多药与疾病感知;(4)化学物质与身份;(5)通过支持维持健康;(6)与系统抗争:医疗程序的挑战。研究结果表明,患有严重精神障碍的个体由于服用多种药物,其日常功能受到严重干扰,依赖家庭和社会支持来维持药物依从性,在遵守医疗保健系统程序方面面临挑战,并对精神药物的心理和生理影响表示担忧。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Issues in Mental Health Nursing
Issues in Mental Health Nursing NURSINGPSYCHIATRY-PSYCHIATRY
CiteScore
3.30
自引率
4.80%
发文量
111
期刊介绍: Issues in Mental Health Nursing is a refereed journal designed to expand psychiatric and mental health nursing knowledge. It deals with new, innovative approaches to client care, in-depth analysis of current issues, and empirical research. Because clinical research is the primary vehicle for the development of nursing science, the journal presents data-based articles on nursing care provision to clients of all ages in a variety of community and institutional settings. Additionally, the journal publishes theoretical papers and manuscripts addressing mental health promotion, public policy concerns, and educational preparation of mental health nurses. International contributions are welcomed.
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