Assessment of attitude on risk factors associated with compliance and noncompliance of neuroleptic treatment among patients with schizophrenia.

Jerone L. Benedicta, - (2011) Assessment of attitude on risk factors associated with compliance and noncompliance of neuroleptic treatment among patients with schizophrenia. Masters thesis, Vel R.S. Medical College - College of Nursing, Chennai.

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Abstract

Health is a state of complete harmony of the body, mind and spirit. When one is free from physical disabilities and mental distractions, the gate of the soul open. Non-adherence to prescribed antipsychotic medications places patients with schizophrenia at a greatly increased risk of illness exacerbation and rehospitalization. The use of antipsychotic medication in the treatment of schizophrenia is well established and there is overwhelming evidence from clinical trials to demonstrate the benefits of these drugs for patients. Poor adherence to medication regimens is common, contributing to substantial worsening of disease, death, and increased health care costs. Practitioners should always look for poor adherence and can enhance adherence by emphasizing the value of a patient's regimen, making the regimen simple, and customizing the regimen to the patient's lifestyle. Asking patients non judgmentally about medication-taking behavior is a practical strategy for identifying poor adherence. Patients who have difficulty maintaining adequate adherence need more intensive strategies than do patients who have less difficulty with adherence, a more for giving medication regimen, or both. Innovative methods of managing chronic diseases have had some success in improving adherence when a regimen has been difficult to follow. New technologies such as reminders through cell phones and personal digital assistants and pillboxes with paging systems may be needed to help patients who have the most difficulty meeting the goals of a regimen. The monthly relapse rates are estimated to be 3.5 % per month for patients on maintenance neuroleptics and 11% per month for patients who have discontinued their medication. Post discharge noncompliance rates in community settings are estimated to be 7.6 % per month. These estimates were entered into a survival analysis model to determine the real world relapse rate. The utility of neuroleptics are substantial. Being able to give each patient the appropriate dosage of the right treatment should enhance not only its immediate efficacy, but also compliance and therefore long term efficacy. This study aims to assess the attitudes and risk factors associated with compliance and noncompliance among patients with Schizophrenia. The objective of the study was to assess the attitude and the risk factors associated with compliance and non compliance of neuroleptic treatment. A descriptive research design was adopted for this study. The study was conducted in Raju Hospital at Chennai. Out patients and in patients with Schizophrenia who fulfilled the inclusive criteria were assessed using modified standardized tools which consists reasons of medication influences {ROMI} scale, Drug attitude inventory scale. Ethical aspects were considered throughout the study. Analysis revealed that the percentage level of risk factor among compliance and non-compliance client.47(94.0%) client have mild influence and 3(6%) of clients have moderate influence irrespective of compliance and non compliance,AS and 18% of clients have unfavorable attitude, 82% of client have moderately favorable attitude. The psychiatric nurse, as a nurse educator should aim at providing information to patients about both their illness and medication with the goal of increasing understanding and promoting compliance.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Risk Factors; Compliance; Noncompliance; Neuroleptic Treatment; Patients; Schizophrenia
Subjects: NURSING > Psychiatric Nursing
Depositing User: Ramakrishnan J
Date Deposited: 20 Dec 2017 06:18
Last Modified: 20 Dec 2017 06:18
URI: http://repository-tnmgrmu.ac.in/id/eprint/4536

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