從順從治療團體看精神分裂症患者的藥物信念的轉變歷程

Transitions in Beliefs About Medication-taking Among Persons with Schizophrenia Who Are Members of a Compliance Therapy Group

本研究目的是藉順從治療團體形式了解精神分裂症患者藥物信念的轉變與感受。以質性研究法探討8位精神分裂症患者在順從治療團體中藥物信念的歷程變化。每次團體60分鐘，共計8次，每次團體全程錄音收集資料並進行內容分析。結果患者在團體中的藥物信念轉變與感受包括否認需要－看不見參與順從治療的重要性；壓抑－服藥經驗的喚醒與表露；疑惑－關注服藥的內容與入院的原因及突破－重新定義藥物與本身的關係。藉此訊息，提供護理人員介入順從治療時，可更了解與接近患者的服藥想法與經驗。

The purpose of this study was to understand the nature of the changes in beliefs about medication-taking among persons who are undergoing compliance therapy. In this qualitative study, eight clients with schizophrenia were recruited to form a compliance therapy group. The group underwent eight sessions. Each session ran for 60 minutes and the sessions took place over eight weeks. Each session was recorded using audio-taping. The tape recordings were analyzed by the content analysis method. Four themes emerged from the recordings and these were: (1) seeing no reason to attend the group; (2) repressing and then reawakening experiences of medication-taking; (3) raising doubts, then shifting attention to the reasons why there is a need to take medication and then admitting this, and (4) making a breakthrough and then redefining the relationship between the meaning of medication-taking and self. These results may offer health workers a deeper understanding of the nature of the changes that occur in beliefs about medication when clients undergo compliance therapy.