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首页> 外文期刊>Therapeutic advances in psychopharmacology. >A qualitative study of the attitudes of patients in an early intervention service towards antipsychotic long-acting injections
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A qualitative study of the attitudes of patients in an early intervention service towards antipsychotic long-acting injections

机译：对患者对抗精神病药长效注射的早期干预服务态度的定性研究

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The objective of this study was to investigate attitudinal themes to antipsychotic long-acting injections (LAIs) in patients in an early intervention team (EIT). Interviews were carried out with outpatients purposively sampled from an EIT to represent patients currently prescribed antipsychotic LAIs, oral antipsychotics and those not prescribed antipsychotic medication. Interviews were conducted and analysed according to grounded theory. Recruitment stopped when saturation of themes was reached. Interviews from 11 patients were analysed (median age 24 years). Attitudes to LAIs were condensed into three key categories: therapeutic alliance and the psychiatrists’ recommendation of antipsychotic medication; patients’ knowledge and beliefs about LAIs; and patients’ views regarding the appropriateness of LAIs. Participants valued their psychiatrist’s recommendation as to the most appropriate antipsychotic. Attitudes to LAIs varied but were most positive among those currently receiving a LAI. Among those not prescribed LAIs, some were open to considering a LAI if their clinician recommended it but others were opposed to such treatment and preferred tables. There was a lack of awareness of LAIs as a treatment option among those not prescribed a LAI. Delay in being offered a LAI was reported in the group currently prescribed a LAI. Several participants associated oral antipsychotics, LAIs and mental illness with stigma. Some not prescribed a LAI had misperceptions about the nature of this treatment. Participants regarded the advantages of LAIs as convenience and avoiding forgetting to take tablets, while disadvantages included injection pain, fear of needles and coercion. Lack of knowledge, misperceptions and stigma related to LAIs and other treatment options should be addressed by providing patients with accurate information. This will facilitate patients being involved in choices about treatment, and should they decide to accept medication, which drug and formulation is most appropriate for their needs. Clinicians should avoid making assumptions about patients’ attitudes to LAIs; attitudes vary but some early intervention patients not prescribed LAIs are open to considering this treatment. Antipsychotic prescribing should result from a shared decision-making process in which clinicians and patients openly discuss the pros and cons of different formulations and drugs. The themes identified in this qualitative study require further exploration using quantitative methodology.
机译：这项研究的目的是调查早期干预小组（EIT）中患者抗精神病药物长效注射（LAIs）的态度主题。采访对象是从EIT有意抽取的门诊患者，以代表目前开具抗精神病药物LAI，口服抗精神病药物和未开具抗精神病药物的患者。根据扎根的理论对访谈进行了分析。当主题达到饱和时，招聘停止。分析了来自11位患者的访谈（中位年龄为24岁）。对LAI的态度可归纳为三个主要类别：治疗联盟和精神病医生推荐的抗精神病药物。患者对LAI的了解和信仰;以及患者对LAI适用性的看法。参加者对他们的精神科医生的建议表示赞赏，认为这是最合适的抗精神病药。对LAI的态度各不相同，但在目前接受LAI的人中最为积极。在未开具LAI的患者中，有些人愿意接受临床医生推荐的LAI，而另一些人则反对这种治疗方法和首选餐桌。在没有开具LAI的人中，缺乏对LAI作为治疗选择的认识。当前开具LAI的小组中有报告称延迟提供LAI。几名参与者将口服抗精神病药，LAI和精神疾病与耻辱感相关。一些未开具LAI的人对这种治疗的性质有误解。与会人员认为，LAI的优点是方便，避免忘记服用药片，而缺点包括注射痛，担心扎针和胁迫。应通过向患者提供准确的信息来解决与LAI和其他治疗选择有关的知识不足，误解和污名。这将有助于患者参与治疗选择，并决定是否接受药物治疗，哪种药物和制剂最适合他们的需求。临床医生应避免对患者对LAI的态度做出假设;态度各不相同，但一些未开具LAI的早期干预患者可以考虑接受这种治疗。抗精神病药物处方应来自共同的决策过程，临床医生和患者应公开讨论不同制剂和药物的利弊。该定性研究确定的主题需要使用定量方法进行进一步探索。

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