원문정보
Review of Medication Adherence Improvement Strategies for Patients with Schizophrenia
초록
영어
BACKGROUND Medication nonadherence of the schizophrenic puts the patient in harm’s way and may bring the society to dangers. A summary of the existing literature on ways to improve the medication nonadherence would help protect the patient. OBJECTIVE This study aimed 1) to identify the list of reasons of medication nonadherence, 2) the list of strategies to alleviate medication nonadherence among the schizophrenic, and then 3) to assess how effectively each strategy addresses the specific reason of medication nonadherence. METHODS The reasons of medication nonadherence were identified from a most recent study of systematic review. For each identified reason, the strategies for improving the medication nonadherence were identified from a PubMed search of the studies published for the past 5 years. The effectiveness assessment of the strategies in addressing each reason was based on a 5 point-scale. RESULTS The number of reasons of medication non-adherence identified was 11, categorized into intentional vs. non-intentional ones. The number of strategies to improve the nonadherence was categorized into 6; pharmacist intervention, drug formulation, side effects, socio-cognitive behavioral modification, economic incentives and use of technology. While quite a few strategies aimed at addressing the problems of cognitive impairments, social support, and medication belief, few addressed the problems related to insight and social stigma. CONCLUSION This study found that strategies to improve the medication nonadherence work only when they target specific reasons. The study results inform healthcare providers of the importance of tailoring the medication nonadherence improvement strategy to each patient’s needs.
목차
서론
연구 방법
1. 조현병 환자의 복약이행도를 저하시키는 요인
2. 조현병 환자의 복약이행도를 개선하기 위한 전략
3. 원인과 전략의 연관성 평가
연구 결과
1. 조현병 환자의 복약이행도 저하 요인
2. 조현병 환자의 복약이행도 개선 전략
3. 복약이행도 개선 전략과 비이행 요인과의 상관성
고찰
1. 낮은 병인식
2. 약물에 대한 부정적 태도
3. 약물부작용
4. 치료 관계
5. 사회적 낙인
6. 약물 남용
7. 인지능력 저하
8. 낮은 가족 및 사회적 지원
9. 사회적 기능 저하
10. 우울증
11. 낮은 의료기관으로의 접근성
결론
참고문헌