采取干预措施,提高精神障碍患者的服药依从性。

IF 7.5 2区 医学 Q1 PSYCHIATRY
Jahnavi Kedare, Abhijeet Faye
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引用次数: 0

摘要

回顾的目的:药物不依从性在精神疾病患者中很普遍。各种因素导致了它。因此,住院人数增加,自杀风险增加,护理费用增加。因此,有必要采取有效的干预措施,以提高精神疾病患者的依从性。最近的研究发现:药物依从性包括患者参与决策。近年来的干预措施通过心理教育、动机性访谈和认知行为疗法等技术来帮助患者。干预措施涉及患者和护理人员。关于使用智能手机、各种应用程序、数字平台和人工智能使用基于技术的干预措施的研究越来越多。最近的研究结果表明,干预方法的组合可能对提高依从性更有用。一些常规干预措施效果良好。在以技术为基础的干预领域需要强有力的研究。总结:不坚持服药会导致较差的健康结果,并阻碍患者融入社会。医疗保健提供者、患者和护理人员团队的共同努力是提高依从性和提高生活质量的必经之路。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Interventions to improve medication adherence in persons with mental disorders.

Purpose of review: Nonadherence to medication is prevalent in patients with mental illness. Various factors responsible for it. As a result, there are more hospitalizations, increased risk of suicide and increased cost of care. Thus, there is a need for effective interventions to improve adherence in mentally ill patients.

Recent findings: Adherence to medication includes participation of patient in decision making. Interventions in the recent years help patients through techniques like psychoeducation, motivational interviewing and cognitive behaviour therapy. Interventions involve both patients and caregivers. There is a growing body of research about use of technology -based interventions using smart phones, various applications, digital platforms and artificial intelligence. Recent findings of research indicate that a combination of methods of intervention may be more useful in improving adherence. Some conventional interventions yield good results. Robust research is needed in the field of technology- based interventions.

Summary: Non adherence to medication leads to poorer health outcomes and hampers integration of the patient in the society. A collaborative effort of the team of healthcare providers, the patient and caregivers is the way ahead for better adherence and good quality of life.

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来源期刊
Current Opinion in Psychiatry
Current Opinion in Psychiatry 医学-精神病学
CiteScore
12.20
自引率
1.40%
发文量
76
审稿时长
6-12 weeks
期刊介绍: Current Opinion in Psychiatry is an easy-to-digest bimonthly journal covering the most interesting and important advances in the field of psychiatry. Eight sections on mental health disorders including schizophrenia, neurodevelopmental disorders and eating disorders, are presented alongside five area-specific sections, offering an expert evaluation on the most exciting developments in the field.
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