Journals / Psikiyatri Hemşireliği Dergisi / 2020 / Cilt: 11 - Sayı: 4

Adherence to prescribed treatment by adolescent outpatients with mental disorders at a regionalpsychiatric hospital

Pages
306–314
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Adolescents who found that using regular medication is important often stated that they did not give up whether they felt good or bad; they frequently used support and reminder systems (such as alarms or notes) to get their medications regularly. 61.3% of the adolescents stated that they always came to their appoint-ments regularly; however, some stated that they could often interrupt their appointments in order not to miss classes.Conclusion: It is recommended that mental health and psychiatric nurses perform experimental studies in different groups of adolescents with mental disorders, using a larger sample in which interventions increase the adherence with treatment, determine the factors affecting the adherence to treatment, and develop standard measurement tools.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: The aim of this study was to evaluate adherence to treatment by adolescents with mental disorders who applied to the child and adolescent psychiatry outpatient clinic of a regional psychiatric hospital.Methods: This descriptive and cross-sectional study was conducted with 142 adolescents who were followed while attending the child and adolescent psychiatry outpatient clinic of a regional psychiatric hospital for twelve months be-tween November 2018 and November 2019.
📊
Key Findings & Data:In this study, an Information Form with 31 open- and closed-ended questions was used to collect the data.
💡
Conclusion & Impact:Adolescents who found that using regular medication is important often stated that they did not give up whether they felt good or bad; they frequently used support and reminder systems (such as alarms or notes) to get their medications regularly. 61.3% of the adolescents stated that they always came to their appoint-ments regularly; however, some stated that they could often interrupt their appointments in order not to miss classes.Conclusion: It is recommended that mental health and psychiatric nurses perform experimental studies in different groups of adolescents with mental disorders, using a larger sample in which interventions increase the adherence with treatment, determine the factors affecting the adherence to treatment, and develop standard measurement tools.
🔬Design:Research Article
📍Scope:2018 Verileri
⚙️Variables:Domain Parameters

Özet

Objectives: The aim of this study was to evaluate adherence to treatment by adolescents with mental disorders who applied to the child and adolescent psychiatry outpatient clinic of a regional psychiatric hospital.Methods: This descriptive and cross-sectional study was conducted with 142 adolescents who were followed while attending the child and adolescent psychiatry outpatient clinic of a regional psychiatric hospital for twelve months be-tween November 2018 and November 2019. They had been using psychotropic medications for at least three months. In this study, an Information Form with 31 open- and closed-ended questions was used to collect the data. Frequency, percentage, mean, and standard deviation were used to evaluate the data.Results: In this study, 55.6% of the adolescents who participated were female, and the mean age was 14.51±1.98 years. 93.7% of adolescents continued their education and 70.4% lived in a nuclear family structure. Adolescents were followed up with Attention Deficit-Hyperactivity Disorder (ADHD), and the Anxiety, Mood, and Psychotic Disorders, re-spectively. Among them, 50.7% use stimulants, 50.7% use antidepressants, and antipsychotic medications. Adolescents used their medications regularly, most (50.7%) did not experience any side effects; those who experienced side effects more often used ineffective coping methods. 37.3% had no difficulty in remembering to take their medications and 24.6% did not forget to take them. Adolescents who found that using regular medication is important often stated that they did not give up whether they felt good or bad; they frequently used support and reminder systems (such as alarms or notes) to get their medications regularly. 61.3% of the adolescents stated that they always came to their appoint-ments regularly; however, some stated that they could often interrupt their appointments in order not to miss classes.Conclusion: It is recommended that mental health and psychiatric nurses perform experimental studies in different groups of adolescents with mental disorders, using a larger sample in which interventions increase the adherence with treatment, determine the factors affecting the adherence to treatment, and develop standard measurement tools.

🔖

Cite This Article

DİKEÇ, G., ARABACI, L. B., BİLAÇ, Ö. (2020). Adherence to prescribed treatment by adolescent outpatients with mental disorders at a regionalpsychiatric hospital. Psikiyatri Hemşireliği Dergisi, Cilt: 11 - Sayı: 4, 306–314. https://ajindex.com/articles/340431

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Häge A, Weymann L, Bliznak L, Märker V, Mechler K, Dittmann RW. Non-adherence to Psychotropic Medication Among Ado-lescents - A Systematic Review of the Literature. Z Kinder Ju-gendpsychiatr Psychother 2018;46:69–78
  2. Schröder C, Dörks M, Kollhorst B, Blenk T, Dittmann RW, Gar-be E, et al. Outpatient antipsychotic drug use in children and adolescents in Germany between 2004 and 2011. Eur Child Adolesc Psychiatry 2017;26:413–20
  3. Timlin U, Hakko H, Heino R, Kyngäs H. A systematic narrative review of the literature: adherence to pharmacological and nonpharmacological treatments among adolescents with mental disorders. J Clin Nurs 2014;23:3321–34
  4. Rettew DC, Greenblatt J, Kamon J, Neal D, Harder V, Wasser-man R, et al. Antipsychotic medication prescribing in children enrolled in Medicaid. Pediatrics 2015;135:658–65
  5. Ghaziuddin N, King CA, Hovey JD, Zaccagnini J, Ghaziuddin M. Medication noncompliance in adolescents with psychiatric disorders. Child Psychiatry Hum Dev 1999;30:103–10
  6. Sabaté E, Sabaté E. Adherence to long-term therapies: evi-dence for action. Geneva: World Health Organization; 2013
  7. Alshiekh RM, Ahmed ZA, Amasha HA. Factors affecting com-pliance with psychotropic medication for psychiatric patients: descriptive study. Khartoum Medical Journal 2017;10
  8. Leclerc E, Noto C, Bressan RA, Brietzke E. Determinants of adherence to treatment in first-episode psychosis: a comprehensive review. Braz J Psychiatry 2015;37:168–76
  9. Velligan DI, Maples NJ, Pokorny JJ, Wright C. Assessment of ad-herence to oral antipsychotic medications: What has changed over the past decade? Schizophr Res 2020;215:17–24
  10. Burns CD, Cortell R, Wagner BM. Treatment compliance in ad-olescents after attempted suicide: a 2-year follow-up study. J Am Acad Child Adolesc Psychiatry 2008;47:948–57
  11. Çakır F, İlhem C, Yener F. Kronik Psikotik Hastalarda Taburculuk Sonrası Takip ve Tedaviye Uyum. Dusunen Adam The Journal of Psychiatry and Neurological Sciences 2010;23:50–9
  12. Varol-Taş FV, Güvenir T, Miral S. Bir Çocuk ve Ergen Psikiyatr-si Kliniğnde Yatarak Tedavi Gören Hastalarda İlaç Kullanımı. Çocuk ve Gençlik Ruh Sağliği Dergisi 2007;14:139–50
  13. Barnett ER, Butcher RL, Neubacher K, Jankowski MK, Daviss WB, Carluzzo KL et al. Psychotropic medications in child wel-fare: From federal mandate to direct care. Children and Youth Services Review 2016;66:9–17
  14. Laurier C, Lafortune D, Collin J. Compliance with psychotropic medication treatment among ado