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首页> 外文期刊>Patient Preference and Adherence >Perspectives on medicine adherence in service users and carers with experience of legally sanctioned detention and medication: a qualitative study
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Perspectives on medicine adherence in service users and carers with experience of legally sanctioned detention and medication: a qualitative study

机译：对具有法律制裁的拘留和用药经验的服务使用者和看护人的依从性的观点：定性研究

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Aim: To explore and analyze perceptions of service users and caregivers on adherence and nonadherence to medication in a mental health care context.Background: Mental health medication adherence is considered problematic and legal coercion exists in many countries.Design: This was a qualitative study aiming to explore perceptions of medication adherence from the perspective of the service user (and their caregiver, where possible).Participants: Eighteen mental health service users (and six caregivers) with histories of medication nonadherence and repeated compulsory admission were recruited from voluntary sector support groups in England.Methods: Data were collected between 2008 and 2010. Using qualitative coding techniques, the study analyzed interview and focus group data from service users, previously subjected to compulsory medication under mental health law, or their caregivers.Results: The process of medication adherence or nonadherence is encapsulated in an explanatory narrative. This narrative constitutes participants' struggle to negotiate acceptable and effective routes through variable quality of care. Results indicated that service users and caregivers eventually accepted the reality of their own mental illness and their need for safety and treatment. They perceived the behavior of professionals as key in their recovery process. Professionals could be enabling or disabling with regard to adherence to medication.Conclusion: This study investigated service user and caregiver perceptions of medication adherence and compulsory treatment. Participants described a process perceived as variable and potentially doubly faceted. The behavior of professionals was seen as crucial in collaborative decision making on medication adherence.
机译：目的：探索和分析服务使用者和护理人员在精神卫生保健背景下对药物依从性和不依从性的看法背景：在许多国家，精神药物的依从性被认为是有问题的并且存在法律强制性设计：这是一项定性研究，旨在参加者：从自愿部门支持小组中招募了18名精神卫生服务使用者（和6名护理者），他们具有服药不依从和反复强制入院的历史，从服务使用者（以及他们的看护人，如有可能）的角度探讨药物依从性的看法。方法：收集2008年至2010年之间的数据。该研究使用定性编码技术，分析了先前接受过根据精神卫生法强制服药的医疗服务使用者或他们的看护者的访谈和焦点小组数据。结果：用药过程依从性或不依从性被封装在说明性叙述中。这种叙述构成了参与者努力通过可变的护理质量来谈判可接受的有效途径的努力。结果表明，服务使用者和护理人员最终接受了他们自己的精神疾病以及对安全和治疗的需求。他们认为专业人员的行为是恢复过程中的关键。专业人士在药物依从性方面可能会启用或禁用。结论：本研究调查了服务使用者和护理人员对药物依从性和强制治疗的看法。参与者描述了一个过程，该过程被认为是可变的并且可能是双重的。专业人员的行为被视为在药物依从性的协作决策中至关重要的。

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