Medication Self-Management in Hospitalised Patients with Schizophrenia or Bipolar Disorder: The Perceptions of Patients and Healthcare Providers
| Autor: | Elke Loots, Josée Leys, Shara Proost, Manuel Morrens, Inge Glazemakers, Tinne Dilles, Bart Van Rompaey |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Chemistry
Bipolar Disorder medication self-management psychiatry adherence nursing prevalence inpatients medication errors qualitative research Health Personnel Self-Management Health Toxicology and Mutagenesis Schizophrenia Public Health Environmental and Occupational Health Humans Human medicine Pharmacists Biology Qualitative Research |
| Zdroj: | International Journal of Environmental Research and Public Health; Volume 19; Issue 8; Pages: 4835 International journal of environmental research and public health |
| ISSN: | 1660-4601 1661-7827 |
| DOI: | 10.3390/ijerph19084835 |
| Popis: | Aim(s): The aim of the study was to explore perspectives of hospitalised patients with schizophrenia or a bipolar disorder and their healthcare providers on medication self-management. Methods: In a qualitative descriptive design, semi-structured interviews were used. Forty-nine interviews were completed (nurses n = 18; psychiatrists n = 3; hospital pharmacists n = 2; patients n = 26). Data analysis was iterative using an inductive and thematic approach. Results: From the thematic analysis of the interviews, three main themes emerged: monitoring and shared decision-making, relationship based on trust, and patient satisfaction and rehabilitation; as well as three sub-themes: available tools, patient readiness, and safety. Regular monitoring and follow-ups were considered conditions for medication self-management. All stakeholders considered that the patient, the nursing staff, and the psychiatrist should all be involved in the process of medication self-management. All healthcare providers emphasized the importance of regular re-evaluations of the patient and were worried about medication errors and misuse. Most patients considered medication self-management during hospitalisation to increase their confidence, self-reliance, and satisfaction. Many participants thought it would make a positive contribution to the recovery process. Discussion: All stakeholders were positive towards medication self-management under specific conditions. According to the participants, medication self-management offered many benefits, including the implementation of more structure for the patient, an ameliorated preparatory phase towards discharge, and an actual improvement of future adherence. All participants considered medication self-management to contribute to more profound medication knowledge and an overall improvement of their health literacy. Implications and future perspectives: These findings will be used to develop a medication self-management tool in hospitalised patients with schizophrenia or bipolar disorders. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|