Attitudes of patients with schizophrenia spectrum or bipolar disorders towards medication self‐management during hospitalisation

Author:

Loots Elke1ORCID,Dilles Tinne1ORCID,Van Rompaey Bart2ORCID,Morrens Manuel34ORCID

Affiliation:

1. Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care (CRIC) University of Antwerp Antwerp Belgium

2. Faculty of Medicine and Health Sciences, Family Medicine and Population Health University of Antwerp Antwerp Belgium

3. Faculty of Medicine and Health Sciences, Collaborative Antwerp Psychiatric Research Institute University Department of Psychiatry, University of Antwerp Antwerp Belgium

4. University Psychiatric Centre Duffel Duffel Belgium

Abstract

AbstractBackgroundMedication self‐management (MSM) is defined as a person's ability to cope with medication treatment for a chronic condition, along with the associated physical and psychosocial effects that the medication causes in their daily lives. For many patients, it is important to be able to self‐manage their medication successfully, as they will often be expected to do after discharge.AimThe aim of this study was to describe the willingness and attitudes of patients with schizophrenia spectrum or bipolar disorders regarding MSM during hospital admission. A secondary aim was to identify various factors associated with patient willingness to participate in MSM and to describe their assumptions concerning needs and necessary conditions, as well as their attitudes towards their medication.MethodsA multicentre, quantitative cross‐sectional observational design was used to study the willingness and attitudes of psychiatric patients regarding MSM during hospitalisation. The study adhered to guidelines for Strengthening the Reporting of Observational Studies in Epidemiology (STROBE).ResultsIn this study, 84 patients, of which 43 were patients with schizophrenia spectrum disorders and 41 were patients with bipolar disorders, participated. A majority of the patients (81%) were willing to participate in MSM during their hospitalisation. Analysis revealed patients are more willing to MSM if they are younger (r = −.417, p < .001) and a decreasing number of medicines (r = −.373, p = .003). Patients' willingness was positively associated with the extent of support by significant others during and after hospitalisation (Pearson's r = .298, p = .011). Patients were convinced that they would take their medication more correctly if MSM were to be allowed during hospitalisation (65%).ConclusionMost of the patients were willing to self‐manage their medication during hospitalisation, however, under specific conditions such as being motivated to take their medication correctly and to understand the benefits of their medication.Relevance to Clinical PracticeFrom a policy point of view, our study provided useful insights into how patients look at MSM to enable the development of future strategies. Since patients are willing to self‐manage their medication during hospitalisation, this may facilitate its implementation.Patient contributionPatients were recruited for this study. Participation was voluntary, and signed informed consent was obtained from all participants prior to the questionnaire.

Publisher

Wiley

Subject

General Medicine,General Nursing

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