Bipolar Bozukluk Hastalarında Motivasyonel Görüşmenin İlaç Uyumuna Etkisi: Sistematik Derleme

Öz

Bu sistematik derleme bipolar bozukluk tanılı bireylerde motivasyonel görüşme yönteminin ilaç tedavisine uyum üzerine etkisini incelemek amacıyla yapılmıştır. Bu sistematik derlemede literatür taraması ’Cochrane, SpringerLink, Ovid, Science Direct, PubMed, ProQuest, Networked Digital Library of Theses and Dissertations (NDLTD), ULAKBİM, YÖKTEZ’’ veri tabanlarında, son 5 yılda yayınlanmış, İngilizce dilinde, ‘’motivational interviewing’’, ‘’bipolar disorder’’, ‘’adherence’’ anahtar kelimeleri ve kombinasyonları kullanılarak yapılmıştır. Araştırmaların başlık ve özetleri gözden geçirilmiş ve dahil etme kriterlerini karşılayan 4’ü randomize kontrollü ve 2’si nonrandomize çalışma olmak üzere 6 çalışma sistematik derlemeye dahil edilmiştir. Bu sistematik derlemenin sonucunda motivasyonel görüşme yönteminin bipolar bozukluk tanılı hastalarda ilaç uyumunu arttırmada etkili olduğu belirlenmiştir. Çalışmalarda motivasyonel görüşmelerin tek başına, ilaç hatırlatma sistemi ile ya da eğitim programı ile birlikte uygulandığı tespit edilmiştir. Motivasyonel görüşmelerin haftada veya ayda 2 kez, 20-60 dk arasında ve 3-6 seans arasında uygulandığı belirlenmiştir. Motivasyonel görüşme yönteminin etkisini değerlendirmek için ilaç uyumunu ve semptomları değerlendiren subjektif ve objektif ölçüm araçlarının kullanıldığı görülmüştür. Motivasyonel görüşme yönteminin bipolar bozukluk tanılı hastalarda ilaç uyumuna etkisini inceleyen randomize kontrollü deneysel araştırmaların arttırılması ve ruh sağlığı profesyonelleri tarafından hastaların ilaç uyumunu arttırmak için motivasyonel görüşme teknik ve becerilerinin kullanılması önerilmektedir.

Anahtar Kelimeler

• Bipolar bozukluk
• motivasyonel görüşme
• ilaç uyumu
• hemşirelik
• sistematik derleme

Effect of Motivational Interviewing on Medication Adherence in Patients with Bipolar Disorder: Systematic Review

Öz

This systematic review was conducted to examine the effect of motivational interviewing method on compliance with medication treatment in individuals diagnosed with bipolar disorder. In this systematic review, the literature was searched in the databases of ''Cochrane, SpringerLink, Ovid, Science Direct, PubMed, ProQuest, Networked Digital Library of Theses and Dissertations (NDLTD), ULAKBIM, YÖKTEZ'', published in the last 5 years, in English language, using the keywords and combinations of ''motivational interviewing'', ''bipolar disorder'', ''adherence''. The titles and abstracts of the studies were reviewed and 6 studies, including 4 randomized controlled trials and 2 nonrandomized studies, that met the inclusion criteria were included in the systematic review. As a result of this systematic review, it was determined that the motivational interviewing method was effective in increasing medication compliance in patients diagnosed with bipolar disorder. In the studies, it was determined that motivational interviewing was applied alone, with medication reminder system or with an educational program. It was determined that motivational interviewing was applied twice a week or twice a month, between 20-60 minutes and between 3-6 sessions. Subjective and objective measurement tools assessing medication adherence and symptoms were used to evaluate the effect of motivational interviewing. It is recommended to increase randomized controlled experimental research examining the effect of motivational interviewing method on medication adherence in patients diagnosed with bipolar disorder and to use motivational interviewing techniques and skills by mental health professionals to increase patients' medication adherence.

Anahtar Kelimeler

• Bipolar disorder
• motivational interviewing
• medication adherence
• nursing
• systematic review

Kaynakça

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