Assessment of self-care and medication adherence in individuals with mental health conditions
Assessment of self-care and medication adherence in individuals with mental health conditions
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DOI：
10.1016/j.japh.2017.02.023
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发表时间：
2017-05-01
影响因子：
2.1
通讯作者：
Porter, Kyle A.
中科院分区：
文献类型：
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作者：
Bible, Lisa J.;Casper, Kristin A.;Porter, Kyle A.
目的：本描述性研究探讨精神健康状况患者是否参与个人医疗（自我保健活动）作为其治疗方案的一部分。个人医疗是指患者自我识别和发起的自我保健活动，可以通过各种方式改善心理健康，包括身体活动、社会参与和精神联系。本研究的目的是在服务不足的人群中探索患者对个人医疗的参与，并评估自我保健可能对自我报告的药物使用和依从性以及患者对精神健康控制的感知产生的影响。设计：横断面研究设计，采用面对面的口头调查，评估药物依从性、自我保健活动的参与、自我保健的感知和心理健康控制。环境：研究地点是位于城市环境中的一家非营利性慈善药店。药房免费提供药物和药房服务，包括疾病状态教育、即时检测和药物治疗管理。参与者：研究参与者包括那些服用心理健康药物的人，年龄在18岁及以上。主要结果测量：主要结果包括参与自我护理和自我报告的药物依从性。其他测量包括自我护理维度的分层、心理健康控制的感知和患者对社区资源的了解。结果：总体而言，81.7%的参与者参与自我保健活动，其中98.3%的参与者认为自我保健对改善和维持他们的心理健康很重要。参与自我护理的患者自我报告的依从率和心理健康控制都更高。结论：识别和从事个人医疗的参与者认识到其价值，并愿意将其纳入他们的治疗方案。作为可获得和可信赖的卫生保健提供者，药剂师可以鼓励患者识别和使用个人药物，以帮助改善他们的精神健康状况。(C) 2017美国药剂师协会(R)。Elsevier Inc.出版。版权所有。
Objectives: This descriptive study explored whether patients with mental health conditions engage in personal medicine (self-care activities) as part of their treatment regimen. Personal medicine is patient-identified and - initiated activities of self-care that can improve mental health through various means, including physical activity, social engagement, and spiritual connectedness. The purpose of this study was to explore patient engagement in personal medicine within an underserved population and to evaluate the impact self-care might have on self-reported medication use and adherence and patient perception of mental health control.Design: Cross-sectional study design with a face-to-face verbally administered survey assessing medication adherence, engagement in self-care activities, perception of self-care, and mental health control.Setting: The study site was a nonprofit charitable pharmacy in an urban setting. The pharmacy provides medications and pharmacy services at no charge, including disease state education, point-of-care testing, and medication therapy management.Participants: Study participants included those who fill medications for mental health conditions and who are age 18 years and older.Main outcome measures: Main outcomes included engagement in self-care and self-reported medication adherence. Additional measures included stratification of dimensions of self-care, perception of mental health control, and patient knowledge of community resources.Results: Overall, 81.7% of participants engaged in activities of self-care, with 98.3% recognizing self-care as important to improving and maintaining their mental health. Greater self-reported adherence rates and mental health control were seen with patients who participate in self-care.Conclusion: Participants who identify and engage in personal medicine recognize its value and are willing to incorporate it into their treatment regimen. As accessible and trusted health care providers, pharmacists can encourage patients to identify and use personal medicine to aid in the improvement of their mental health condition. (C) 2017 American Pharmacists Association (R). Published by Elsevier Inc. All rights reserved.