Treatment Adherence, Internalised Stigma and Recovery Among Individuals Diagnosed With Schizophrenia in Eastern Turkey.

IF 2.6 4区 医学 Q1 NURSING Journal of Psychiatric and Mental Health Nursing Pub Date : 2024-12-22 DOI:10.1111/jpm.13149
Cemile Hurrem Ayhan, Mehmet Cihad Aktas, Sakine Aktas, Mehmet Sinan Keskiner
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Abstract

Introduction and aim: This study aimed to assess the relationship between treatment adherence, internalised stigma, recovery and the mediating effect of internalised stigma on these relations in individuals diagnosed with schizophrenia.

Method: This study was conducted using a cross-sectional design. A purposive sample of 107 individuals diagnosed with schizophrenia receiving psychiatric outpatient care at outpatient clinics and community mental health services (CMHC) affiliated with SBU Van research and education hospital was recruited for this study. The data were collected by the following tools: sociodemographic data questionnaire, the internalised stigma in mental illnesses scale, the medication adherence rating scale and recovery assessment scale.

Results: The study participants reported low levels of treatment adherence, high levels of internalised stigma and moderate levels of recovery. Furthermore, we found a weak negative correlation between internalised stigma and treatment adherence. There was a moderate negative correlation between internalised stigma and recovery. Additionally, it was found that internalised stigma has fully mediating effect on the relation between treatment adherence and recovery.

Implications for practice: The results of this study can guide mental health nurses in developing tailored interventions and support programmes to improve this population's treatment adherence, recovery and overall mental health outcomes.

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治疗依从性,内化耻辱和恢复个体诊断精神分裂症在土耳其东部。
前言与目的:本研究旨在评估精神分裂症患者治疗依从性、内化耻辱感和康复之间的关系,以及内化耻辱感在这些关系中的中介作用。方法:本研究采用横断面设计。在SBU Van研究与教育医院附属门诊诊所和社区精神卫生服务中心(CMHC)接受精神科门诊治疗的107名精神分裂症患者进行了本研究。采用社会人口学调查问卷、精神疾病内化污名量表、药物依从性评定量表和康复评定量表进行数据收集。结果:研究参与者报告了低水平的治疗依从性,高水平的内在耻辱和中等水平的恢复。此外,我们发现内化耻辱感与治疗依从性之间存在微弱的负相关。内化病耻感与康复之间存在中度负相关。此外,我们还发现,内化的耻辱感在治疗依从性与康复之间的关系中起着完全的中介作用。对实践的启示:本研究的结果可以指导心理健康护士制定量身定制的干预措施和支持方案,以提高这一人群的治疗依从性、康复和整体心理健康结果。
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来源期刊
CiteScore
4.70
自引率
3.70%
发文量
75
审稿时长
4-8 weeks
期刊介绍: The Journal of Psychiatric and Mental Health Nursing is an international journal which publishes research and scholarly papers that advance the development of policy, practice, research and education in all aspects of mental health nursing. We publish rigorously conducted research, literature reviews, essays and debates, and consumer practitioner narratives; all of which add new knowledge and advance practice globally. All papers must have clear implications for mental health nursing either solely or part of multidisciplinary practice. Papers are welcomed which draw on single or multiple research and academic disciplines. We give space to practitioner and consumer perspectives and ensure research published in the journal can be understood by a wide audience. We encourage critical debate and exchange of ideas and therefore welcome letters to the editor and essays and debates in mental health.
期刊最新文献
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