Enhancing Adherence to Treatment for Clients With Serious Mental Illness
Other Title(s)
Patient Education and Treatment Modalities
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Abstract
Session presented on Saturday, July 26, 2014: Non-adherence to treatment is a common problem in many chronic disorders with higher rates among clients with mental disorders. Non-adherence to treatment greatly compromises the effectiveness of psychiatric treatment and is associated with higher rates of relapse, hospitalization, and increased health care costs. Hildegard Peplau's theory of the nurse-client relationship and Ludwig von Bertalanffy's general system theory provide a model for intervening to increase adherence. The study was conducted over a 90 day period in the outpatient service of a for-profit psychiatric hospital. The intervention involved communication between office visits by an advanced practice nurse who contacted clients via phone or email. Thirteen adult clients between the ages of 21 and 59 agreed to participate (four males and seven females). Patients' diagnoses included bipolar disorder, major depressive disorder, anxiety disorder, and post traumatic stress disorder. All of the participants were new to the clinic and had a history of inconsistent compliance with medications. Clients were asked to keep a daily log of psychotropic medications taken. They were considered as meeting the goal of adherence when taking the medication 75% of the time. Their attendance to psychiatric appointments was also recorded. Chi-Square tests indicated that APRN communication was significantly associated with consistent adherence to medications (?2 (1, N = 13) = 13.00, p < .001) and to psychiatric appointments (?2 (1, N = 13) = 13.00, p < .001). These results support the use of an evidence based intervention to enhance adherence to psychiatric treatment. Recommendations for further study include recruiting the psychiatric providers to provide the intervention and conducting a cost effectiveness analysis.
Description
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong
Repository Posting Date
2014-11-17T13:51:47Z
Notes
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.
Type Information
Type | Presentation |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Category Information
Evidence Level | |
Keywords | Adherence; Treatment |
Conference Information
Name | 25th International Nursing Research Congress |
Host | Sigma Theta Tau International, the Honor Society of Nursing |
Location | Hong Kong |
Date | 2014 |
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