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Yıl:2010; Cilt: 1; Sayı: 1>> Özet
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Psikiyatri Hemşireliği Dergisi; 2010;1(1):7-12
Hasta Yakınlarına Göre Kronik Psikiyatrik Bozukluğu Olan Hastaların Tedaviye Uyumu
H Tel, S Doğan, B Özkan, S Çoban
Cumhuriyet Üniversitesi , Sivas
Amaç: Bu çalışma, hasta yakınlarının kronik psikiyatrik bozukluğu olan hastaların tedaviye uyumuna ilişkin görüşlerini belirlemek amacı ile tanımlayıcı olarak yapılmıştır. Gereç ve Yöntem: Çalışma 1-28 Şubat 2008'de Erkilet Ruh Sağlığı Merkezi'nde yatan 73 hastanın yakını ile yapılmıştır. Çalışmada veriler anket formu kullanılarak yüz yüze görüşme yoluyla toplanmıştır. Araştırma verilerinin değerlendirilmesinde yüzdelik dağılım ki-kare testi kullanılmıştır. Bulgular: Çalışmada hastaların bakımını yürüten hasta yakınlarının çoğunun, hastanın eşi veya annesi olduğu, hasta yakınlarının, hastaların ilaçla iyileşeceğini ve ilaç tedavisinin sürdürülmesi gerektiğini düşündükleri saptanmıştır. Hastaların üçte ikisinin ilaçlarını düzenli kullanmadıkları ve kontrollere düzenli gitmedikleri belirlenmiştir. Hastaların tanıtıcı özelliklerine ve hastalık süreci özelliklerine göre ilaçları düzenli kullanma, doktor izni olmadan ilaç tedavisini bırakma ve poliklinik kontrollerine düzenli gitme durumu arasında istatistiksel olarak anlamlı bir fark olmadığı (p>0.05) saptanmıştır. Bununla birlikte çoğunlukla şizofreni tanılı, yılda iki kez hastaneye yatan ve hastalık süresi 2-5 yıl olan hastaların ilaçları düzensiz kullandıkları, doktor izni olmadan tedaviyi bıraktıkları ve kontrollere düzensiz gittikleri belirlenmiştir. Sonuç: Çalışmada hasta yakınlarının hastaların ilaçla iyileşeceğini ve ilaç tedavisinin sürdürülmesi gerektiğini düşündükleri, ancak hastaların büyük çoğunluğunun ilaçlarını düzenli kullanmadıkları, kontrollere düzenli gitmedikleri ve tedaviye uyum sorunu yaşadıkları saptanmıştır.
Compliance to Treatment Among Chronic Psychiatric Disorder Patients According to Their Relatives
Objectives: 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 faceto-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 checkups 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 checkups (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 [year]s 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.

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