The Effect of Therapeutic Relationship Combined with Telephone Continuing Care Program on Medical Adherence in Persons with Schizophrenia
Article Sidebar
Main Article Content
Abstract
This research was a quasi-experimental nonequivalent group design. The objectives were to compare: 1 ) medical adherence of persons with schizophrenia before and after received therapeutic relationship combined with telephone continuing care program and 2) medical adherence of persons with schizophrenia who received therapeutic relationship combined with telephone continuing care program and those who received regular nursing care. The samples of 3 0 persons with schizophrenia who met the inclusion criteria were recruited from inpatient department, Somdetchaopraya Instituted of Psychiatry. The samples were matched pair with sex then randomly assigned into group either experimental 15 subjects and control group 15 subjects. The research instruments consisted of: 1) the therapeutic relationship combined with telephone continuing care program, 2 ) manual for after discharge care of schizophrenia patients, 3 ) the relationship between nurse and patient form, and 4 ) the medication adherence scale. All instruments were verified for content validity by 5 professional experts. The 4 th instruments had Cronbach’s alpha coefficient reliability of 0.88. The data was analyzed using descriptive statistics and t-test.
The conclusions of this research were as follow :
1) Medical adherence of persons with schizophrenia who received therapeutic relationship combined with telephone continuing care program measured at the end of the intervention and at 4 weeks post intervention were significantly better than that pre intervention, (p < .05).
2) Medical adherence of persons with schizophrenia who received therapeutic relationship combined with telephone continuing care program measured at the end of the intervention and at 4 weeks post intervention were significantly better than those who received the regular nursing care, (p < .05)
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
2. Suttajit S, Srisurapanont M. Schizophrenia: epidemiology and treatment. J Psychiatr Assoc Thailand 2009;54(Suppl):21S-37S.
3. Sadock JB, Sadock AV. Kaplan and Sadock's: synopsis of psychiatry. 11th ed. Philadelphia: Lippincott Williams & Wilkins; 2006
4. ระบบศูนย์กลางการให้บริการผู้ป่วยจิตเวชของประเทศไทย กรมสุขภาพจิต. รายงานผู้มารับบริการด้านจิตเวช. [อินเทอร์เน็ต]. [เข้าถึงเมื่อ 17 พฤษภาคม 2560]. แหล่งที่มา: https://www.dmh.go.th/report/datacenter/map/.
5. สถิติการรับบริการของผู้ป่วยสถาบันจิตเวชศาสตร์สมเด็จเจ้าพระยา ศูนย์สารสนเทศสถาบันจิตเวชศาสตร์สมเด็จเจ้าพระยา. กรุงเทพมหานคร: สถาบันจิตเวชศาสตร์สมเด็จเจ้าพระยา; 2558.
6. Haynes RB, Yao X, Degani A, Kripalani S, Garg AX, McDonald HP. Intervention for enhancing medical adherence (review). Cochrane Database of Systematic Reviews. [Internet]. [cited 2017 May 18]. Available from: https://freakonomicsbook.com/pdf/CochranePrescription Adherence.pdf.
7. Farragher B. Treatment compliance in the mental health service. Ir Med J 1999;92(6):392-4.
8. Novick D, Haro JM, Suarez D, Perez V, Dittmann RW, Haddad PM. Predictors and clinical consequences of nonadherence with antipsychotic medication in the outpatient treatment of schizophrenia. Psychiatry Res 2010;176(2-3):109-13.
9. ศูนย์สารสนเทศสถาบันจิตเวชศาสตร์สมเด็จเจ้าพระยา. สถิติการรับบริการของผู้ป่วยสถาบันจิตเวชศาสตร์สมเด็จเจ้าพระยา. กรุงเทพมหานคร: สถาบันจิตเวชศาสตร์สมเด็จเจ้าพระยา; 2557.
10. Suttichaichot C, Kulsri S, Piboonarluk W. The effect of motivation enhancement program in schizophrenia patients on medication adherence behaviors, Somdet Chaopraya Institute of Psychiatry. The Journal of Psychiatric Nursing and Mental Health 2013;27(3):75-86.
11. Lotrakul M, Sukanit P, editors. Ramathibodi’s essential of psychiatry. 2nd ed. Bangkok: Beyond Enterprise: 2005. (in Thai).
12. Oehl M, Hummer M, Fleischhachhackwer WW. Compliance with antipsychotic treatment. Acta Psychiatr Scand Suppl 2000;(407):83-6.
13. Razali MS, Yahya H. Compliance with treatment in schizophrenia: a drug intervention program in a developing program. Acta Psychiatr Scand 1995;91(5):331-5.
14. Putkhao S. Factors affecting medication compliance in schizophrenia patients. [Master’s Thesis, Faculty of Nursing]. Chiang Mai University; 1998. (in Thai).
15. Chiewsothorn S. The effect of empowerment in schizophrenic patients on medication adherence behaviors. [Master’s Thesis, Faculty of Nursing]. Chulalongkorn University; 2002. (in Thai).
16. Kanchanarak O. Factors predicting medication adherence behavior of schizophrenic patients in community. [Master’s Thesis, Faculty of Nursing]. Chulalongkorn University; 2002. (in Thai).
17. Beebe LH, Smith K, Crye C, Addonizio C, Strunk DJ, Martin W, et al. Telenursing intervention increases psychiatric medication adherence in schizophrenia outpatients. J Am Psychiatr Nurses Assoc 2008;14(3):217-24.
18. Peplau HE. Interpersonal relations in nursing: a conceptual frame of reference for psychodynamic nursing. New York: Putnam; 1952.
19. Beebe LH, Tian L. TIPS: telephone intervention-problem solving for persons with schizophrenia. Issues Ment Health Nurs 2004;25(3):317-29.
20. Kanthasaibour P. An analysis of variables discriminating the groups of relapse and nonrelapse
schizophrenic patients. [Master’s Thesis, Faculty of Nursing]. Chulalongkorn University; 2001. (in Thai).
21. Grove SK, Burns N, Gray J. The practice of nursing research: appraisal, synthesis and generation of evidence. 7th ed. St. Louis MO: Elsevier Saunders; 2013.
22. Saraburi D. The effect of transitional discharge model on quality of life of schizophrenic patients. [Master’s Thesis, Faculty of Nursing]. Chulalongkorn University; 2015. (in Thai).
23. Forchuk C. The orientation phase of the nurse-client relationship: testing Peplau’s theory. J Adv Nurs 1994;20(3):532-7.
24. Freudenreich O, Cather C. Antipsychotic medication non adherence: risk factors and remedies. The Journal of Lifelong Learning in Psychiatry 2012;(2):124-9.
25. ทวีพร วิสุทธิมรรค. เภสัชวิทยาของยาและสารเสพติด. ใน วิโรจน์ วีรชัย, อังกูร ภัทรากร, ล่ำซำ ลักขณาภิชนชัช, ฉวีวรรณ ปัญจบุศย์, นิภา ณีสกุล, บรรณาธิการ. ตำราการบำบัดรักษาผู้ติดยาเสพติด. กรุงเทพมหานคร: วัชระอินเตอร์ปริ้นติ้ง; 2544. หน้า 84-109.