| 英文摘要 |
Psychotropic medications play a major role in treating psychiatric patients and poor drug adherence results in frequent relapses, which raised the cost and burden both on medical care and society. Psychiatric nursing staff should be able to identify the subjective feelings and difficulties in patients taking these medications in order to enhance their willingness to comply actively with the prescriptions. Eighty chronic psychiatric inpatients were assessed for their medication adherence behavior by two self-developed questionnaires—the "Drug Adherence Training Observations" and the "Questionnaire on Factors Affecting Active Adherence" from January 2011 to March 2011. Results revealed that only 24% of participants were compliant actively and many patients (70.7%) were not fully aware of their own medications, time to take, dosage, indications, and possible adverse effects. We have thus developed an intervention program based on what we found above and the related literature. The program includes: (1) an individual drug adherence education (2) a group psycho-education for psychopharmacology (3) a customized individual drug adherence training card, and (4) a reward system.
Three months after implementing the intervention program, we found that the active adherence rate rose from 24% to 65% and inadequate knowledge of psychotropic medication dropped from 70.7% to 35%. The intervention program can enhance active drug adherence and promote the psychotropic knowledge in chronic psychiatric inpatients. The results suggest that such intervention program is effective. |
