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首页> 外文学位 >THE EFFECTS OF A PROGRAM TO TEACH SELF-ADMINISTRATION OF FLUPHENAZINE DECANOATE ON THE CHRONIC SCHIZOPHRENIC.
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THE EFFECTS OF A PROGRAM TO TEACH SELF-ADMINISTRATION OF FLUPHENAZINE DECANOATE ON THE CHRONIC SCHIZOPHRENIC.

机译：程序对慢性精神分裂症患者进行自我管理氟哌嗪酮癸酸酯的作用。

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摘要

Methods to enhance self-care and consumer responsibility for care need to be developed for people with mental as well as physical problems. The purpose of this study was to introduce a program to teach chronic schizophrenics self-administration of fluphenazine decanoate.;Three patients learned how to self-administer and maintain the self-administration approach for long periods of time--three years, two years, and nine months. One of the patients was able to self-administer at home without supervision. Gradually over a period of time more patients requested to learn the self-administration approach. The outpatient treatment program adopted the approach as a feasible option to be offered to patients on fluphenazine decanoate.;Nurses reported that the patients who self-administered felt more positive about themselves, complained less about the medicine, and were more compliant about taking the medicine compared to patients who did not self-administer. Total SCRS scores decreased after self-administration. There were no major differences in semantic differential rating scale scores when compared to before and after self-administration. There were no noticeable differences in background characteristics between the self-administrators and the non-self-administrators.;Results obtained from this study have implications for clinical practice and for further research. Programs designed to work with chronic schizophrenics should offer self-administration as an option. If a self-administration approach is introduced in a given program, it may take some time before it is accepted. Individuals who are able to learn self-administration in the presence of a nurse may eventually be able to self-administer on their own at home.;Patients in a Midwestern outpatient treatment program and a private practice setting were taught by psychiatric nurses how to inject themselves with needles. This self-administration approach had never been tried before. Comparisons were made on patients who self-administered and those who did not self-administer based on the Short Clinical Rating Scale (SCRS) and a background questionnaire. Follow-up reports were obtained on the self-administrators based on semantic differential rating scale scores, SCRS scores, and reports made by psychiatric nurses.
机译：需要为有精神和身体问题的人们开发增强自我保健和消费者对保健的责任的方法。这项研究的目的是引入一个程序来教授癸酸氟苯那嗪的慢性精神分裂症自我管理。;三名患者学会了如何长期自我管理和维持自我管理方法-三年，两年，和九个月。其中一名患者无需监督即可在家中自我管理。在一段时间内，越来越多的患者要求学习自我管理方法。门诊治疗方案采用了该方法作为可为癸酸氟奋乃静的患者提供的一种可行选择。护士报告说，自我管理的患者对自己更加乐观，对药物的抱怨更少，并且对服药的依从性更高。与没有自我管理的患者相比。自我管理后，总SCRS分数下降。与自我管理之前和之后相比，语义差异评分量表得分没有重大差异。自我管理者和非自我管理者之间的背景特征没有显着差异。;从这项研究中获得的结果对临床实践和进一步的研究有启示。旨在与慢性精神分裂症患者合作的程序应提供自我管理作为一种选择。如果在给定程序中引入了自我管理方法，则可能需要一些时间才能接受它。能够在护士在场的情况下学习自我管理的个人最终可能能够在家中自行进行自我管理。；中西部门诊治疗计划和私人执业环境中的患者由精神病学护士教授如何注射用针刺自己。这种自我管理方法从未尝试过。根据短期临床评分量表（SCRS）和背景调查表，对自我管理和非自我管理的患者进行了比较。根据语义差异等级量表分数，SCRS分数以及精神病护士的报告，向自我管理者获取了后续报告。

著录项

  • 作者

    BROWN, SUSAN BELEKEVICH.;

  • 作者单位

    The University of Wisconsin - Madison.;

  • 授予单位 The University of Wisconsin - Madison.;
  • 学科 Mental health.
  • 学位 Ph.D.
  • 年度 1984
  • 页码 120 p.
  • 总页数 120
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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