Descriptions and Correlates of Medication Adherence, Attitudes, and Self-Efficacy in Outpatients With Schizophrenia Spectrum Disorders (SSDs)

被引:9
作者
Beebe, Lora Humphrey [1 ]
Smith, Kathleen [2 ]
Phillips, Chad [3 ]
机构
[1] Univ Tennessee, Coll Nursing, Knoxville, TN 37996 USA
[2] Tennessee Wesleyan Coll, Knoxville, TN USA
[3] Helen Ross McNabb Ctr, Knoxville, TN USA
基金
美国医疗保健研究与质量局;
关键词
RATING-SCALE MARS; INFORMED-CONSENT; MENTAL-ILLNESS; NONADHERENCE; THERAPY; INTERVENTION; RELIABILITY; PREVALENCE; VALIDITY; BEHAVIOR;
D O I
10.1016/j.apnu.2016.01.010
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
The problem of medication adherence in schizophrenia spectrum disorders (SSDs) has challenged researchers and clinicians for decades. Few investigations have examined non-psychiatric adherence in this group. We conducted a descriptive correlational investigation of adherence and related factors in 185 stable outpatients with SSDs. Fifty-seven percent of participants had antipsychotic medication levels within therapeutic range and 42% had levels below therapeutic range. Pill count percentage adherence to antipsychotic medications ranged from 0-100% with a mean of 70% and SD 34.9. Mean non-psychiatric medication adherence ranged from 0 to 100 with a mean of 61% and SD 31.8. The following characteristics were not significantly associated with adherence: age, diagnosis, gender, race, living arrangement, educational level, typical versus atypical antipsychotic medication. Level of symptoms was correlated negatively and significantly with self-reported medication adherence and medication adherence self-efficacy. Our next project will examine the effectiveness of a telephone-delivered intervention designed to support adherence in this group. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:400 / 405
页数:6
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