Factors influencing medication adherence among patients with severe mental disorders from the perspective of mental health professionals

BMC Psychiatry

Shuyi Zhai¹  Brendan Ross¹  Mengjie Deng²  Zhening Liu²  Xuan Ouyang² 

[1] Faculty of Medicine, McGill University, Montreal, QC, Canada;National Clinical Research Center for Mental Disorders, and Department of Psychiatry, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China;

关键词: Medication adherence;    Severe mental disorders;    Qualitative research;   

DOI  :  10.1186/s12888-021-03681-6

来源: Springer

【 摘 要 】

BackgroundMedication adherence is a common issue influenced by various factors among patients with severe mental disorders worldwide. However, most literature to date has been primarily quantitative and has focused on medication adherence issue from the perspective of patients or their caregivers. Moreover, research focused on medication adherence issue in China is scarce. Present study aims to explore the influential factors of medication adherence among patients with severe mental disorders form the perspective of mental health professionals in Hunan Province, China.MethodsA qualitative study was performed in Hunan Province, China with 31 mental health professionals recruited from October to November 2017. And semi-structured interviews or focus group interviews were conducted along with audio recordings of all interviews. Interview transcripts were then coded and analyzed in Nvivo software with standard qualitative approaches.ResultsThree major themes influencing medication adherence among patients with severe mental disorders were identified as: (1) attitudes towards mental disorder/treatment; (2) inadequate aftercare; (3) resource shortages.ConclusionsThis qualitative study identified the factors influencing medication adherence among patients with severe mental disorders in China. As a locally driven research study, it provides practical advice on medication adherence promotion for mental health workers and suggests culturally tailored models that improve the management of patients with severe mental disorders in order to reduce economic burden on individual and societal level.

【 授权许可】

CC BY