Citation

Hsu CW, Huang YH, Lin ML. Hu Li Za Zhi 2022; 69(2): 97-103.

Copyright

(Copyright © 2022, Nurses' Association of the Republic of China)

DOI

10.6224/JN.202204_69(2).12

PMID

35318637

Abstract

This article describes an experience providing care for non-adherence to medication in a patient with schizoaffective disorder. The patient, a long-term resident of a rehabilitation home, was experiencing auditory hallucination symptoms related to his non-adherence to medication. After being hospitalized, he refused to take oral medications, and had limited ability to effectively deal with the command auditory hallucinations, leading to his self-harm behavior. The nursing period was from April 7th to May 3rd, 2021. Data were collected using observation, in-depth interviews, and a medical history review. The nursing assessment was conducted using the five dimensions of nursing assessment. The authors used empathy, listening, and caring attitudes to establish a trusting and therapeutic interpersonal relationship with the patient. A motivational interview approach was employed to strengthen motivation to take medication, guide and link the value of personal life, and jointly draw up a patient-centered plan to establish rules to which the patient would be able to adhere. Subsequently, the patient achieved reduced interference from auditory hallucinations and close adherence to his medication protocol and attended follow-up appointments regularly in the outpatient department after discharge.

Language: zh

Keywords

Humans; Male; Motivation; motivational interviewing; Psychotic Disorders; Medication Adherence; schizoaffective disorder; medication adherence; Motivational Interviewing