精神科护士促进成年抑郁症患者遵医嘱用药的概念框架。

Jeanne Du Plessis, Annie Temane, Marie Poggenpoel
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摘要

背景: 不遵医嘱用药是一个普遍存在的重大医疗问题。大量研究发现了在不同医疗环境中导致不遵医嘱用药的因素。因此,有必要制定一个概念框架,以促进成年抑郁症患者的用药依从性: 本研究旨在为精神科护士制定一个概念框架,以促进成年抑郁症患者的用药依从性: 方法:采用定性、探索、描述性和情境研究设计,调查抑郁症成人患者不遵医嘱用药的经历。研究分为三个阶段:实证阶段、概念分类阶段和发展阶段。实证阶段结束后,根据分类概念制定了概念框架: 结合系统综述、研究人员之前进行并发表的小论文和本次研究的结果,合并三组结果进行交叉验证分析: 研究人员制定了一个概念框架,以帮助精神科护士有效促进抑郁症成人患者的内部控制。由此产生的概念框架为今后旨在提高成年抑郁症患者服药依从性的研究工作提供了宝贵的见解和工具:该框架为今后旨在探讨抑郁症成人患者服药依从性的研究提供了宝贵的指导,特别是通过关注内部控制的概念。
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A conceptual framework for psychiatric nurses to facilitate medication compliance among adults living with depression.

Background:  Medication non-compliance is a significant healthcare issue that is widespread. Extensive research has identified factors that contribute to medication non-compliance in different healthcare settings. As a result, there was a need to develop a conceptual framework to facilitate medication compliance among adults living with depression.

Objectives:  The purpose of this study was to develop a conceptual framework for psychiatric nurses to facilitate medication compliance among adults living with depression.

Method:  A qualitative, exploratory, descriptive and contextual research design was utilised to investigate the experiences of adults living with depression who are non-compliant with medication. The study consisted of three phases: an empirical phase, a classification of concepts and a development phase. Following the empirical phase, a conceptual framework was developed based on the classified concepts.

Results:  Three sets of results were merged for the cross-validation analysis, combining findings from the systematic review, the researcher's previously conducted and published minor dissertation and the current study.

Conclusion:  A conceptual framework was developed to assist psychiatric nurses in effectively promoting an internal locus of control among adults living with depression. The resulting conceptual framework provides valuable insights and serves as a valuable tool for future research endeavours aimed at enhancing medication compliance among adults living with depression.Contribution: This framework serves as a valuable guide for future studies that aim to explore medication compliance among adults living with depression, specifically by focussing on the concept of internal locus of control.

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