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Copyright of Turkiye Klinikleri Journal of Nursing Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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Amaç: Tedavi uyumu psikotik bozukluklarda hastalık gidişini belirleyen en önemli değişkenlerden birisidir. Bu çalışmada yatarak tedavi gören psikotik bozukluk hastalarının taburculuk sonrası dönemde tedavi uyumları değerlendirilecektir. Aynı zamanda tedavi uyumlarına göre sınıflandırılan gruplar arasında da karşılaştırmalar yapılacaktır. Gereç ve Yöntem: Mevcut çalışmaya 30.06.2018-30.06.2019 tarihleri arasında yatarak tedavi gören ve hastaneden çıkış tanısı psikotik bozukluk olan 39 hasta dahil edilmiştir. Hastalar taburculuklarından sonra telefon ile aranarak mevcut durumları ile ilgili bilgi alınmıştır. Hastalarla yapılan bu görüşmede ayrıca Morisky Tedavi Uyum Ölçeği, Kısa İşlevsellik Değerlendirme Ölçeği ve Klinik Global İzlenim Ölçeği doldurulmuştur. Bulgular: Çalışmaya dahil edilen hastaların 20’sinin (% 51.3) tedavi uyumu düşük, 10’unun (% 25.6) tedavi uyumu orta ve dokuz hastanın (% 23.1) ise tedavi uyumu yüksek olarak bulunmuştur. Tedavi uyumu düşük olan hastaların taburculuk sonrası yeniden hastane yatışlarının daha sık olduğu, işlevselliklerinin daha kötü olduğu ve hastalıkları ile ilgili daha az bilgi sahibi oldukları tespit edilmiştir. Sonuç: Psikotik bozuklukta tedavi uyumundaki düşüklük hastalık seyrinin olumsuz olmasına neden olabileceği için tedavi uyumunu arttırmaya yönelik girişimler gerekebilir.

INTRODUCTION[|]Community Mental Health Centers (CMHC) were established to provide psychosocial support services for patients with severe mental disorders such as bipolar disorder, schizophrenia, unspecified schizophrenia spectrum and other psychotic disorder. The aim of our study was to determine the effects of participation frequency in a CMHC on insight, treatment adherence and functionality in severe mental disorders.[¤]METHODS[|]362 patients diagnosed with bipolar disorder and psychosis according to the DSM–5 criteria and treated in CMHC were included in this retrospective study. The participation frequency of patients benefited from CMHC services for a year was retrospectively screened. The patients had been evaluated with Clinical Global Impression Scale (CGI), Medication Adherence Rating Scale (MARS), Global Assessment of Functioning (GAF), and Schedule for Assessing the Three Components of Insight (SATCI), and Functional Remission of General Schizophrenia Scale (FROGS). Patients were divided into two groups as bipolar disorder and psychosis (schizophrenia, schizoaffective and USS&OPD).[¤]RESULTS[|]The patients had been participated in CMHC services in 6 different frequency groups: 68 (18.8%) once in six months, 62 (17.1%) once in three months, 68 (18.8%) once in two months, 98 (27.1%) once/twice a month, 34 (9.4%) once/twice a week, 32 (8.8%) three/four times a week, respectively. There were significant differences between GAF, CGI, SATCI, MARS, FROGS scores in terms of participation frequencies of psychosis group and there were significant differences between GAF, CGI, MARS scores in terms of participation frequencies of bipolar disorder group at the end of one year. [¤]DISCUSSION AND CONCLUSION[|]In general, as the participation frequency increased, insight, treatment adherence and functionality increased. In addition to individual factors, our results will also contribute to determine the frequency of participation in CMHC.[¤]

Copyright of Journal of Academic Value Studies is the property of Asos Egitim Bilisim Danismanlik and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objectives: We aimed to evaluate adherence and determine the factors that are related to adherence in patients on levothyroxine therapy. Materials and Methods: Patients older than 18 years old and using levothyroxine for primary hypothyroidism were recruited. Demographical and clinical features, practices of using levothyroxine, and compliance were evaluated through a questionnaire. Those who answered the frequency of not using/skipping the drug as never/rarely, sometimes, and frequently/often were grouped as high, medium, and low adherence, respectively. Results: Data of 335 patients -282(84.18%) female and 53(15.82%)- male, with a mean age of 47.36±12.50 were analyzed. 330 (98.50%) patients were taking levothyroxine in the morning, and 332 (99.10%) were taking fast. 8(%2.41) patients were taking the drug just before the meal, and 66(19.88%) were taking it in 15 minutes. 66.66% of 145 patients using a medication that interferes with the absorption of levothyroxine were using it less than 2 hours of levothyroxine. There were 218 (65.08%) high, 98 (29.25%) medium and 19 (5.67%) low adherence patients. Drug adherence was not associated with demographical features, the cause and duration of hypothyroidism, the presence of comorbid disease, and thyroid hormones. Higher education level and familial thyroid disease were associated with high adherence (p=0.008 and p=0.013, respectively). Conclusion: Drug adherence was medium/ low in 34.92% of hypothyroid patients. A considerable amount of patients did not leave enough time between levothyroxine and meal or other medications. For effective treatment of hypothyroidism, it is important to inform patients about hypothyroidism and levothyroxine use and increase drug compliance. [ABSTRACT FROM AUTHOR]

Amaç: Bu çalışmanın amacı bipolar bozukluk, şizofreni ve diğer psikozlar gibi psikiyatrik hastalıklarda; azalmış içgörü, tedavi uyumsuzluğu, işlevsellik ve yaşam kalitesi üzerinde Toplum Ruh Sağlığı Merkezleri (TRSM)’nin etkilerini belirlemektirGereç ve Yöntem: Çalışmaya daha önce TRSM hizmetlerinden faydalanmayan 88 hasta ile en az 6 ay faydalanmış olan 88 hasta dahil edilmiştir. Hastalar Klinik Global İzlem ölçeği, Tıbbi Tedaviye Uyum Oranı Ölçeği, Genel İşlevsellik Değerlendirmesi Ölçeği, Pozitif ve Negatif Sendrom Ölçeği, Yaşam Kalitesi Ölçeği, İçgörünün Üç Bileşenini Değerlendirme Ölçeği ve Şizofreni Hastalarında İşlevsel İyileşme Ölçeği ile değerlendirilerek karşılaştırılmıştır.Bulgular: 112’si (63,64%) erkek, 64’ü (36,36%) kadın toplam 176 hastalanın klinik değerlendirmeleri sonucunda TRSM hizmeti alan grubun ortalama klinik değerlendirme ölçek puanları, TRSM hizmeti almayan hastalarla karşılaştırıldı. Yapılan tüm değerlendirme testleri arasında her iki grup arasında anlamlı farklılık vardı.Sonuç: TRSM'de verilen hizmetler sayesinde hastaların içgörü, yaşam kalitesi, genel ve sosyal işlevselliğinin belirgin olarak arttığı; hastalık belirtilerinin ise önemli oranda azaldığı gözlendi. Bu çalışma, kronik ruhsal sağlık sorunları olan yetişkinlerde bütüncül bakım kalitesinde iyileşme sağlamak için TRSM’de verilen birincil hizmetlerin yeteneği ile ilgili yeni kanıtlar sunmaktadır

Purpose: Treatment compliance is one of the most important variables that determine the disease course in psychotic disorders. This study evaluates after discharge compliance among patients with psychotic disorder hospitalized for treatment. It also compares groups classified on the basis of their treatment compliance. Materials and Methods: Thirty-nine patients hospitalized for treatment between 30.06.2018 and 30.06.2019 and with discharge diagnoses of psychotic disorder were included in the study. Information concerning patients’ treatment compliance was elicited by telephone at least five months after discharge. The Morisky Medication Adherence Scale, the Functioning Assessment Short Test, and the Clinical Global Impressions Scale were completed during these interviews. Results: Treatment noncompliance was determined in 20 (51.3%) of the patients included in the study, partial compliancein 10 (25.6%), and total compliance in nine (23.1%). Patients with noncompliant to treatment experienced more frequent re-hospitalizations and poorer functionality, and possessed less knowledge concerning their disease. Conclusion: Since treatment noncompliance in psychotic disorder can result in an adverse disease course, interventions aimed at increasing compliance may be necessary. [ABSTRACT FROM AUTHOR]

Objectives: In this study, we aimed to evaluate the treatment adherence, self-efficacy levels of adult patients using multiple drugs and the effects of individual factors affecting adherence. Materials and Methods: Methods: A 35-year-old or older patients who has been diagnosed with chronic disease who has been using more than one medication for the last 2 months were included in the study. A questionnaire prepared by the researchers to determine sociodemographic characteristics, disease status and drug types, a Short Form of Self-Efficacy Scale for Adherence/Adaptation to Medical Treatment and Modifiye Morisky Scale were applied to the patients. Results: Of the participants, 39.6% (n = 109) were male, 60.4% (n = 166) were female and the mean age was 67.42 ± 11.5 years. While 53.8% of patients said they were using their medication regularly, 44.7% were unable to use their medication regularly due to forgetfulness. The mean score of the Self-Efficacy Scale for Adherence/Adaptation to Medical Treatment was 33.65 ± 8.6 (17-52). In our study, it was found that those who were under 65 years of age, those who were married, those who were educated by elementary school or higher, those who were equal or higher than the income, those who lived with their wife in the city center, those who have been trained by a health worker about the treatment of the disease had higher both treatment adherence and Modified Morisky motivation and knowledge scores (p<0,001). Conclusion: Of the participants, 46.2% do not use regular drugs. It has been observed that the patients who were trained by a health worker about their disease and treatment process have increased the rate of drug compliance and treatment motivation. [ABSTRACT FROM AUTHOR]

Aim: Along with the increase in the incidence of cancer, treatment methods have also been developed. One of these developments is the increase of oral forms of chemotherapeutic drugs. In this study, it was aimed to systematically investigate the effect of telephone follow-up on drug compliance in cancer patients using oral anticancer drugs. Material and Methods: 4858 studies published between January 2007 and January 2017 were screened in order to determine the effect of telephone follow-up on drug compliance in cancer patients using oral anticancer drugs. Seven studies that met the research criteria were examined. The selected researches were evaluated according to the Joanna Briggs Institute (JBI) critical evaluation lists according to their type. Results: The quality of the seven studies (prospective study: 1, descriptive study: 2, cohort study: 1, randomize controlled study: 1,semi-experimental study:2) was moderate. In the articles reviewed, it was determined that the factors affecting the drug compliance of the patients and the methods for measuring compliance were unclear and uncommon. In addition, studies have shown that drug compliance rates vary depending on the patient sample, type of drug, followup period, evaluation scale, and compliance calculations. Conclusion: There is limited evidence for improving drug compliance in patients receiving oral chemotherapy by telephone follow-up. Therefore high quality studies are needed in the future. The healthcare team should develop standard procedures for routine patient monitoring for patient education, reviewing and documenting treatment plans, and compliance with oral chemotherapy drug use. [ABSTRACT FROM AUTHOR]

Objective: The present study aims to identify the socio-demographic features, psychiatric history, clinic features, and progress of euthymic bipolar patients diagnosed with bipolar mood disorder (BMD), to evaluate patients' levels of adherence to treatment, to evaluate insight and social support levels and to identify their relationship between treatment adherence. Method: The sample comprised of 59 BMD patients in Gaziantep University Şahinbey Research and Practice Hospital Psychiatry Department Mood Disorder Clinic, who met the study requirements, Results: The results revealed that there is a significant relationship between adherence to treatment and social support levels. It was also found out that age, sex, first mood period in the onset of the disorder, progress of the disorder, regular use of drugs, drug non-adherence and its causes (the environment's negative attitudes, the opinion that the treatment is useless, experience of side-effects) that have influenced treatment adherence Conclusion: The following recommendations are made here; evaluating the patients' treatment compliance at regular intervals with standardized criteria and scales; planning mental health training for inpatients and their families by groups; organizing psychiatric services taking into account the strengths and weaknesses of families; informing patients and families about coping and building sufficient social support networks, ensuring regular outpatient follow-up of bipolar mood disorder (BMD) patients for access to the treatment team and medication control; taking measures to increase treatment continuation; finally conducting a study with longer follow-up period than this one in a larger sample. [ABSTRACT FROM AUTHOR]

Adherence is a significant issue in the treatment of mental disorders. Various approaches are used by psychiatric nurses in order to increase adherence among patients with mental disorders. One such method is Adherence Therapy, an individually-applied, patient-centred, cooperative cognitive behavioural approach. This programme is applied to both inpatients and outpatients with non-adherence. Adherence therapy may serve as a guide in aiding interventions of psychiatric nurses in Turkey. The purpose of this review is to explain the feature and intervention method, one approach for increasing adherence among patients with mental disorders. [ABSTRACT FROM AUTHOR]

Objectives: The aim of this study is to determine treatment adherence and related factors in patient with schizophrenia. Methods: The sample of the study was composed of 35 patients with schizophrenia, between the ages of 18-65 that were outpatient and accepted to take part in the study from March-April 2013 in 4 Schizophrenia Association in Istanbul. Study data was obtained with the Medication Adherence Rating Scale (MARS), Internalized Stigma of Mental Illness Scale (ISMIS), Beck Cognitive Insight Scale (BCIS) and Multidimensional Scale of Perceived Social Support (MSPSS). Results: The mean age of the sample was 40.83±7.25.85.7% were male and 40% were high school graduates. The mean score of MARS was found to be 6.8±1.20. There were no significant differences between genders or education; however there was a significant difference between economical status and MARS. There is no correlation between age, duration of disorder, the total number of hospitalizations and MARS, and also there is no correlation between MARS and ISMI, BCIS, MSPSS. There was a significant correlation between ISMI and BCIS. Conclusion: Treatment adherence was found to be poor in patients with schizophrenia who participated in this study. Therefore it is important that determination of the affecting factors of treatment adherence by mental health and psychiatric nurses and working with non-governmental organizations to improve treatment adherence. [ABSTRACT FROM AUTHOR]