Therapeutic compliance of patients on phenothiazines.
1983
SUMMARY The present study was designed to assess the therapeutic compliance of psychiatric patients who re ported to be o"i regular medication particularly phenothiazines. Of the all cases subjected to the F.P.N, test, it was clearly negative in 21 (18.9 %) indicating, their non-adherence to the drug therapy. Despite their report of regular drug intake at the time of urine screening, five of these twenty one patients had reported at a later date discontinuity cf therapy fcr some reason or the other. Curiously, on a long term drug therapy, the incidence of non-complianc e is relatively less. One of the striking impediments in the implementation of the treatment pro gramme of psychiatric patients is the pro blem of non-adherence to medication. It encompasses a wide variety of behaviors on the part of the patient: failure to enter a treatment programme, premature termi nation of therapy and incomplete imple mentation of instructions, including pres criptions. Non-adherence to dry therapy may be categorized into four groups (Malahy, 1966): errors of omission, errrors of pur pose (taking medicine for wrong reasons), errors of dosage, and mistakes in timing or sequence. In psychiatric patients, ca pacity to cooperate may be impaired by the illness as well as by attitudes towards health and treatment. The commonest methods adopted to detect non-adherence are interrogation and tablets estimation by counting which, may be as misleading as interrogation. Other more reliable me thods that could be employed are the use of drug markers and drug detection in serum, C. S. F., urine etc.
Keywords:
- Correction
- Source
- Cite
- Save
- Machine Reading By IdeaReader
3
References
2
Citations
NaN
KQI