認知行動療法に基づく服薬自己管理モジュールの導入とその評価 : 退院後の服薬コンプライアンスへの有用性

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We introduced a medication management module (MMM) for the education of psychiatric inpatients that uses a video (FMV) produced by Fukushima Medical University. We then asked 32 staff members to evaluate the usefulness of FMV by filling out a questionnaire. Nine of the staff (28%) responded that it greatly improved the patients' comprehension level, 19 (59%) felt that it had improved, and 4 (13%) thought that there had been no change. We estimated that the workload of staff had decreased from 10 to 3.7 points. Further, by testing the 37 participants in MMM on their comprehension level before and after it with the same questions, the mean score was significantly higher after MMM (21.4±0.9 points) than before (18.3±3.5 points)(p<0.001). To assess the effect of MMM on post-hospital self-medication behavior, we mailed another questionnaire to patients who had participated in MMM and those who had not. The sixty-three respondents (34 men and 29 women, aged from 15 to 78 years) consisted of 43 schizophrenia patients and 20 manic-depressive psychosis patients, of whom 33 had participated in MMM and 30 had not. The percentage of MMM-participants who were taking medication regularly was not significantly different from that of non-participants. However, the percentages of MMM participants who understood the necessity of medication and knew how to cope with side effects were significantly higher (p<0.05 and p<0.001, respectively). These results indicate that MMM is useful in raising patients' level of comprehension of medication and helping them acquire the proper post-hospital self- medication behavior.
日本医療薬学会の論文
2005-03-10

認知行動療法に基づく服薬自己管理モジュールの導入とその評価 : 退院後の服薬コンプライアンスへの有用性

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