Abstract:
:Medication noncompliance contributes significantly to recurrence of symptoms and readmission to the hospital of schizophrenic patients. The purpose of this study was to determine factors identified by patients, family members, and nurses for patients' noncompliance. The Health Belief Model provided a theoretical framework. The sample consisted of 11 triads with a noncompliant schizophrenic patient, a family member, and a primary nurse in each triad. A structured interview was developed to assess stated reasons for noncompliance and factors relating to the patient's illness, medication practices, stressors, life-style, and support systems. Results showed that many patients stated they did not need medication or needed less than the amount prescribed. Family members and nurses agreed that the majority of patients did not believe that they needed medication. When asked if they thought they had a mental illness, most patients denied that they were ill. Other stated reasons for noncompliance were drug/alcohol use, and, for one patient, medication side effects. Additional findings were patients' low self-esteem; lack of knowledge about medications; inability to identify stressors in patients' lives; inability to identify early symptoms of relapse; patients' need for support from families; and families' stress from patients' abusive, unpredictable behavior. Use of the Health Belief Model is appropriate to study noncompliance in mentally ill patients if perception of illness threat is assessed. Conclusions were that patients and families could benefit from more knowledge of schizophrenia and its treatment, more awareness of stressors and signs of relapse, and improved mutual problem solving. Studies are needed to assess the effects of patients' denial of illness, denial of need for medication, and self-image/self-esteem on medication noncompliance.
journal_name
Issues Ment Health Nursjournal_title
Issues in mental health nursingauthors
Mulaik JSdoi
10.3109/01612849209078775subject
Has Abstractpub_date
1992-07-01 00:00:00pages
219-37issue
3eissn
0161-2840issn
1096-4673journal_volume
13pub_type
杂志文章abstract::A common idiomatic phrase in mental health care is "well known" client, patient, or service user. This phrase is often followed by "to mental health services" or some such, suggesting that a "service" can really know anything. Notwithstanding mental health services, especially public ones are a repository for a lot of...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840.2018.1455119
更新日期:2019-02-01 00:00:00
abstract::The purposes of this paper are to describe a nursing model for psychoeducation that is being implemented in the psychiatric unit of a Veterans Administration (V.A.) Hospital and to report baseline descriptive data for 19 seriously mentally ill patients. The data were collected as part of a larger study of patient, fam...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612849409074937
更新日期:1994-01-01 00:00:00
abstract::Multidisciplinary mental health rehabilitation settings often encounter patients with complex comorbid medical and psychiatric issues that require integrative, multifaceted treatment strategies. Although medication and psychotherapy are typical treatment mainstays, a broader variety of therapeutic options are availabl...
journal_title:Issues in mental health nursing
pub_type: 杂志文章,评审
doi:10.1080/01612840701748847
更新日期:2008-01-01 00:00:00
abstract::Metabolic syndrome is more prevalent in people with serious mental illness, compared to the general population. The main purpose of this study was to determine the extent electronic metabolic monitoring forms were being completed in a regional mental health service and the extent to which diagnoses of metabolic syndro...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612840.2015.1119221
更新日期:2016-01-01 00:00:00
abstract::This article presents a theoretical model derived by synthesizing research findings relevant to maternal perceived support, maternal attachment, infant well-being, and infant attachment. The model, depicting possible predictors that facilitate positive mother-infant relations as well as outcomes of the dyadic relation...
journal_title:Issues in mental health nursing
pub_type: 杂志文章,评审
doi:10.3109/01612849609049914
更新日期:1996-05-01 00:00:00
abstract::People who use drugs are continuously subjected to harsh stigmatization through a process of relational and social degradation, which limits their possibility for recovery. This quantitative study explores the perspectives of family members or significant others of illicit drug users, regarding general beliefs about i...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840.2017.1335362
更新日期:2017-09-01 00:00:00
abstract::Cardiovascular nurses are frequently involved in critical patient care, providing support to patients and their families. The goals of this study were to survey a representative sample of cardiovascular nurses, describe ways of coping, and identify sources of stress in the hospital setting. A descriptive and correlati...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840490486818
更新日期:2004-10-01 00:00:00
abstract::Psychiatric patients are now known to have disproportionately high cardiovascular disease mortality rates. Today's nurse needs more knowledge to manage the care of the psychiatric-cardiac patient. This paper uses a case scenario to cite essential components of care. Psychiatric-cardiac events are explained using a con...
journal_title:Issues in mental health nursing
pub_type: 杂志文章,评审
doi:10.1080/01612840802535135
更新日期:2009-06-01 00:00:00
abstract::Culturally appropriate strategies have been deemed necessary for the treatment of substance abuse among African American women. This qualitative study was conducted utilizing a grounded theory methodology within a womanist theoretical framework to explore the process by which parenting African American women participa...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840490443437
更新日期:2004-07-01 00:00:00
abstract::A number of international studies have highlighted family caregivers' (FCGs') dissatisfaction with their relationship with mental health professionals (MHPs) when providing care for mentally ill family members. However, few studies have explored the mental health professionals' perspective of this relationship. This s...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840802601408
更新日期:2009-08-01 00:00:00
abstract::This study evaluated a one year long course education and counseling program with 93 family caregivers of elders afflicted with Alzheimer's disease. The elders had received treatment for agitation in an inpatient setting and were subsequently discharged to the caregivers' home. Caregivers were randomly assigned to an ...
journal_title:Issues in mental health nursing
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1080/01612840152053084
更新日期:2001-04-01 00:00:00
abstract::This descriptive article highlights a 42-month project in which a comprehensive program revision was implemented in a psychiatric hospital that included numerous alternative strategies to the use of patient restraint and seclusion. The results of this project include a 94% reduction in the rate of restraint and seclus...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/016128402753542785
更新日期:2002-03-01 00:00:00
abstract::Parents of young adults with mental illness may face a continued demand for support, even though their children have reached the age of majority. The aim of this study was to explore relatives' experiences of parenting a young adult with mental illness in transition to adulthood. Individual interviews were conducted a...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612840.2015.1092621
更新日期:2016-01-01 00:00:00
abstract::People with schizophrenia, who have disturbances in mood, thought processes and behavior, experience impairment in day-to-day functioning. Primary caregivers have tried to become involved in caring for persons with schizophrenia by coordination with community psychiatric nurses. Community psychiatric nurses have an im...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612840.2014.908439
更新日期:2014-11-01 00:00:00
abstract::The goals of the project described here were to reduce the length of hospital stay, decrease financial losses, improve care for the elderly, and improve the attitudes and knowledge of nursing staff caring for the elderly. Data collected included reimbursement information, nursing staff variables, and outcomes of patie...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612849409006911
更新日期:1994-03-01 00:00:00
abstract::Use of physical restraint in acute care psychiatry has been, and continues to be, a controversial issue. For this reason, a study was conducted in 1996 that examined nurses' decision making related to the use of physical restraint with aggressive psychiatric patients. An instrument, the Moylan Assessment of Progressiv...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:
更新日期:2009-11-01 00:00:00
abstract::To expose inconsistencies and contradictions in the nurse leadership literature ("text"), this article adopts a deconstructive approach and draws upon the work of Derrida in examining the text or discourse. What is almost entirely missing in the literature are articles that ask difficult, searching questions that chal...
journal_title:Issues in mental health nursing
pub_type: 杂志文章,评审
doi:10.3109/01612840.2015.1042176
更新日期:2015-01-01 00:00:00
abstract::The focus of this qualitative study was to explore patient's perceptions of having received a therapeutic letter (TL) from a nursing student. Patient feedback contributes to student learning and is especially salient when students are trying to understand complex relationships and to deliver care that is individualize...
journal_title:Issues in mental health nursing
pub_type: 杂志文章,评审
doi:10.3109/01612840903342274
更新日期:2010-04-01 00:00:00
abstract::Asian-Indians, one of the fastest growing US immigrant groups, experience depression and anxiety, particularly among women. In this mixed-methods study, quantitative (n = 217) and qualitative (n = 36) data explored egalitarian vs. traditional views regarding women's roles and rights. Bicultural integration, family pla...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840.2017.1283376
更新日期:2017-04-01 00:00:00
abstract::Non-suicidal self-injury is a distressing act, which can arouse dissent and negative comment in service users and providers. The purpose of the study was to describe how women who self-injure and nurses assign meaning to shared discourses about self-injury. The wider study is framed in a grounded theory methodology. F...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840590959380
更新日期:2005-07-01 00:00:00
abstract::Individuals with developmental disabilities (DD) experience stigma, discrimination, and barriers, including access to appropriate health care, that restrict their ability to be equal participants in society. In this study, underlying contexts, assumptions, and ways of acting are investigated that perpetuate inequaliti...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612840.2015.1081654
更新日期:2016-01-01 00:00:00
abstract::Restraints have been used to immobilize the mentally ill since the Middle Ages. However, no one has addressed restraint position as an important factor in outcome. In this study, 20 patients (25 trials) were restrained supine or prone to see how quickly behavior was brought under control. The fewer hours that patients...
journal_title:Issues in mental health nursing
pub_type: 临床试验,杂志文章
doi:10.3109/01612849509042965
更新日期:1995-01-01 00:00:00
abstract::This article focuses on encounters that become violent, a problem in health care that has been the issue of many debates but is still not fully understood. Violent encounters refer to events where the patient expresses an aggressive and hostile attitude toward the caregiver. This study is part of a bigger project that...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840490268324
更新日期:2004-03-01 00:00:00
abstract::Aging continues to be an important topic of study. For many older adults, the elder years can be a challenging, if not difficult, time. Creativity interventions have been shown to positively affect mental and physiological health indicators. The process of creating and one's attitude toward life may be more important ...
journal_title:Issues in mental health nursing
pub_type: 杂志文章,评审
doi:10.1080/01612840701252956
更新日期:2007-04-01 00:00:00
abstract::It is recognised that physical activity has a positive impact on quality of life, social well-being and overall health of people with severe mental illness. However, there is a lack of theory informed programmes that support people with mental illness to adopt regular physical activity behaviour. The aim of this case ...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.1080/01612840.2019.1610818
更新日期:2019-10-01 00:00:00
abstract::Central to providing culturally appropriate nursing care is sensitivity to and knowledge about the group being cared for. Although "mental health" and "mental illness" are artificial concepts among people who do not differentiate and treat mind, body, and spirit separately, and who may not differentiate illness from o...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612849409040533
更新日期:1994-11-01 00:00:00
abstract::Group psychotherapy is one intervention that can be used for aggressive male inpatients. This paper reports relevant literature and clinical applications for conducting a psychodynamic psychotherapy group designed to help patients (a) identify, understand, and deal with underlying problems resulting in aggressive beha...
journal_title:Issues in mental health nursing
pub_type: 杂志文章,评审
doi:10.3109/01612849609009410
更新日期:1996-09-01 00:00:00
abstract::The aim of the study was to assess nursing diagnoses and nursing interventions that were accordingly implemented during the care of inpatients with major depression in Greece. Twelve nurses working in three major psychiatric hospitals were recruited. Semi-structured interviews were used and audio-recorded data indicat...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612840.2016.1169466
更新日期:2016-08-01 00:00:00
abstract::The nursing literature states that reminiscence is an independent nursing intervention for elderly clients and patients. This paper is about the use of reminiscence by nurses in all settings. Nurses have not to date built a firm knowledge base. The paper discusses the need for knowledge about the phenomenon and life r...
journal_title:Issues in mental health nursing
pub_type: 杂志文章
doi:10.3109/01612849009014543
更新日期:1990-01-01 00:00:00
abstract::High utilization of medical services during pregnancy has not been described as most studies have focused on women who receive inadequate or no prenatal care. This paper describes the characteristics and medical utilization data of 500 pregnant women enrolled in a prospective study. High utilizers (HU), who had a mean...
journal_title:Issues in mental health nursing
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1080/01612840701493212
更新日期:2007-08-01 00:00:00