J Psy Nurs. 2010; 1(1): 7-12

Compliance to Treatment Among Chronic Psychiatric Disorder Patients According to Their Relatives

Havva Tel¹, Sibel Doðan², Birgül Özkan², Sibel Çoban^2
1Department Of Nursing, Cumhuriyet University Faculty Of Health Sciences, Nursing Department Of Mental Health, Sivas
²Department Of Nursing, Erciyes University, Atatürk School Of Health Sciences, Kayseri

OBJECTIVE: The present research was carried out descriptively in order to determine the compliance to treatment among patients with chronic psychiatric disorders according to their relatives.

METHODS: The research was carried out with the relatives of 73 patients who were hospitalized at Erkilet Hospital for Mental Health during 1-28 February 2008. The data were collected using a questionnaire form by means of face-to-face interview. Percentage distribution and chi-square test were used for the data evaluation.

RESULTS: It was determined that most of the caretaker relatives were the mothers or spouses of the patients. The relatives expressed that they believed the patients would recover with medications and that the treatment should be continued. According to the responses, two-thirds of the patients did not use the medications regularly and did not present for medical check-ups regularly. With respect to descriptive features of the patients and the characteristics of the course of illness, there were no statistically significant differences regarding the regular use of medication, stopping medication without the physician’s permission and regular visits to polyclinics for check-ups (p>0.05). However, it was determined that patients with schizophrenia, those hospitalized twice a year, and those who had been ill for 2-5 years took their medications irregularly, discontinued treatment without the physician’s permission and attended medical check-ups irregularly.

CONCLUSION: We determined in this research that the relatives believed the patients would recover with medications and that treatment should be continued. However, most of the patients used the medications irregularly, did not attend medical check-ups regularly and had compliance problems to the illness.

Keywords: Patient’s relative, nursing; chronic psychiatric disorders; medication compliance.

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Hasta Yakýnlarýna Göre Kronik Psikiyatrik Bozukluðu Olan Hastalarýn Tedaviye Uyumu

Havva Tel¹, Sibel Doðan², Birgül Özkan², Sibel Çoban^2
1Cumhuriyet Üniversitesi Saðlýk Bilimleri Fakültesi, Hemþirelik Bölümü, Ruh Saðlýðý Ve Hastalýklarý Hemþireliði Anabilim Dalý, Sivas
²Erciyes Üniversitesi, Atatürk Saðlýk Yüksekokulu, Hemþirelik Bölümü, Kayseri

AMAÇ: Bu çalýþma, hasta yakýnlarýnýn kronik psikiyatrik bozukluðu olan hastalarýn tedaviye uyumuna iliþkin görüþlerini belirlemek amacý ile tanýmlayýcý olarak yapýlmýþtýr.

YÖNTEMLER: Çalýþma 1-28 Þubat 2008’de Erkilet Ruh Saðlýðý Merkezi’nde yatan 73 hastanýn yakýný ile yapýlmýþtýr. Çalýþmada veriler anket formu kullanýlarak yüz yüze görüþme yoluyla toplanmýþtýr. Araþtýrma verilerinin deðerlendirilmesinde yüzdelik daðýlým ki-kare testi kullanýlmýþtýr.

BULGULAR: Çalýþmada hastalarýn bakýmýný yürüten hasta yakýnlarýnýn çoðunun, hastanýn eþi veya annesi olduðu, hasta yakýnlarýnýn, hastalarýn ilaçla iyileþeceðini ve ilaç tedavisinin sürdürülmesi gerektiðini düþündükleri saptanmýþtýr. Hastalarýn üçte ikisinin ilaçlarýný düzenli kullanmadýklarý ve kontrollere düzenli gitmedikleri belirlenmiþtir. Hastalarýn tanýtýcý özelliklerine ve hastalýk süreci özelliklerine göre ilaçlarý düzenli kullanma, doktor izni olmadan ilaç tedavisini býrakma ve poliklinik kontrollerine düzenli gitme durumu arasýnda istatistiksel olarak anlamlý bir fark olmadýðý (p>0.05) saptanmýþtýr. Bununla birlikte çoðunlukla þizofreni tanýlý, yýlda iki kez hastaneye yatan ve hastalýk süresi 2-5 yýl olan hastalarýn ilaçlarý düzensiz kullandýklarý, doktor izni olmadan tedaviyi býraktýklarý ve kontrollere düzensiz gittikleri belirlenmiþtir.

SONUÇ: Çalýþmada hasta yakýnlarýnýn hastalarýn ilaçla iyileþeceðini ve ilaç tedavisinin sürdürülmesi gerektiðini düþündükleri, ancak hastalarýn büyük çoðunluðunun ilaçlarýný düzenli kullanmadýklarý, kontrollere düzenli gitmedikleri ve tedaviye uyum sorunu yaþadýklarý saptanmýþtýr.

Anahtar Kelimeler: Hasta yakýný, hemþirelik; kronik psikiyatrik bozukluk; tedaviye uyum.

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