Telenursing intervention increases psychiatric medication adherence in schizophrenia outpatients.
Telenursing intervention increases psychiatric medication adherence in schizophrenia outpatients.
复制标题
DOI：
10.1177/1078390308318750
复制
发表时间：
2008-06-01
影响因子：
2
通讯作者：
Poche, Josh
中科院分区：
文献类型：
--
作者：
Beebe, Lora Humphrey;Smith, Kathlene;Poche, Josh
背景：促进药物依从性是优化精神分裂症患者身心健康的关键问题。平均抗精神病药物的依从性只有50%;很少有研究检查非精神病药物的依从性。心理社会干预与解决问题的组件和动机已经显示出承诺，在改善依从性behaviors. Admistives：本研究探讨了门诊精神分裂症患者的电话干预解决问题（TIPS）。TIPS是一种每周一次的、由提供者发起的、主动的远程护理干预，旨在帮助精神分裂症患者应对各种问题，包括依从性问题。研究设计：作者完成了对29名社区精神分裂症患者坚持精神和非精神药物治疗的客观测量，每月一次，持续3个月。在整个研究期间，接受TIPS治疗的患者对精神科药物的客观依从性显著更高，F（1，20）= 5.47，p = 0.0298。临床医生应考虑使用TIPS作为面对面预约的辅助手段，以支持高危人群的依从性。J Am Psychiatr Nurses Assumption，2008; 14（3），217-224. DOI：10.1177/1078390308318750。
BACKGROUND: Promoting medication adherence is a critical issue in optimizing both physical and mental health in persons with schizophrenia. Average antipsychotic medication adherence is only 50%; few studies have examined nonpsychiatric medication adherence. Psychosocial interventions with components of problem solving and motivation have shown promise in improving adherence behaviors.OBJECTIVES: This study examines telephone intervention problem solving (TIPS) for outpatients with schizophrenia. TIPS is a weekly, provider-initiated, proactive telenursing intervention designed to help persons with schizophrenia respond to a variety of problems, including adherence problems.STUDY DESIGN: The authors completed objective measures of adherence to psychiatric and nonpsychiatric medications in 29 community-dwelling persons with schizophrenia, monthly for 3 months.STUDY RESULTS: Persons receiving TIPS had significantly higher objective adherence to psychiatric medications throughout the study period, F(1, 20) = 5.47, p = .0298.CONCLUSIONS: Clinicians should consider using TIPS as an adjunct to face-to-face appointments to support adherence in persons at risk. J Am Psychiatr Nurses Assoc, 2008; 14(3), 217-224. DOI: 10.1177/1078390308318750.