Meaning and Management of Multiple Medications Among Public Mental Health Service Users.
Meaning and Management of Multiple Medications Among Public Mental Health Service Users.
复制标题
公共精神卫生服务使用者多种药物治疗的含义和管理。
DOI：
10.1007/s10597-019-00491-9
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发表时间：
2020
影响因子：
2.7
通讯作者：
Lincoln,AlisaK
中科院分区：
文献类型：
--
作者：
Scoglio,ArielleAJ;Adams,WallisE;Lincoln,AlisaK
公共精神卫生服务的使用者经常管理多种健康状况，并且经常开多种药物。虽然药物是治疗诊断出的精神疾病的有用工具，但它们带来了管理挑战，并且对服用它们的个人来说也具有复杂的意义。本研究采用定性方法，探讨公共精神卫生服务用户的经验和意义的多药。该样本的服务用户（n = 26）谁是处方多种药物描述了三种不同类型的挑战，他们在管理药物：相关的信息，材料的任务，和自我耻辱。然而，受访者报告了应对这些挑战的创造性和弹性战略。研究结果建立在以前的文献，并反映了越来越多的需要专注于与多药相关的挑战。此外，研究结果表明，低水平的识字率和高水平的物质劣势，这是公共精神卫生服务用户中常见的，复杂的管理和多种药物的意义。
Public mental health service users frequently manage multiple health conditions, and are often prescribed multiple medications. While medications are useful tools in treating diagnosed mental illnesses, they bring management challenges and also can carry complex meanings for the individuals taking them. This study utilized a qualitative methodological approach to examine the experience and meaning of polypharmacy among public mental health services users. This sample of service users (n = 26) who were prescribed multiple medications described three distinct types of challenges they faced in managing medications: related to information, material tasks, and self-stigma. Nevertheless, respondents reported creative and resilient strategies to manage these challenges. Findings build on previous literature and reflect the increasing need to focus on challenges related to polypharmacy. Furthermore, findings indicate that low levels of literacy and high levels of material disadvantage, which are common among public mental health service users, complicate the management and meaning of multiple medications.