Bipolar Affective Disorder: Proposal of a Theoretical Model to Identify Unsafe Factors in Medication Therapy

2.50
Hdl Handle:
http://hdl.handle.net/10755/147718
Type:
Presentation
Title:
Bipolar Affective Disorder: Proposal of a Theoretical Model to Identify Unsafe Factors in Medication Therapy
Abstract:
Bipolar Affective Disorder: Proposal of a Theoretical Model to Identify Unsafe Factors in Medication Therapy
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Miasso, Adriana Inocenti, PhD
P.I. Institution Name:University of Sao Paulo Ribeir?o Preto College of Nursing. WHO Collaborating Centre for Nursing Research Development
Title:Doctor of Nursing. Professor
Co-Authors:Luiz Jorge Pedr?o, PhD; Fernanda R. E. Gimenes, Master, student; Silvia H. De Bortoli Cassiani, DNS, RN
[Symposium clinical presentation] This study aimed to understand the meaning of medication therapy for patients with Bipolar Affective Disorder (BAD) and propose a theoretical model to identify unsafe factors related to this therapy. This study adopted a qualitative approach and used a Grounded Theory in the framework of Symbolic Interactionism. Study participants were 14 BAD patients who were followed at a Clinical Unit for Mood Disorders of a university hospital and 14 relatives they indicated. Interviews and observation were the main strategies for data collection. The recorded interviews were first transcribed and then coded in three phases: open coding, axial coding and selective coding. Comparative data analysis resulted in the central phenomenon: BEING BETWEEN THE DEVIL AND THE DEEP BLUE SEA with respect to medication therapy, allowing for the construction of a theoretical model that identifies vulnerable points which the health team can act on. This process was constituted by integrating categories in Strauss and Corbin's paradigm model. The central phenomenon allowed us to understand that there is an ambivalent situation related to medication therapy for patients with BAD. Patients place the symbol of sanity in the medication but, at the same time, it becomes the concrete and daily proof that they have a mental and chronic disorder. It was also identified that these patients adopt different strategies to modify negative aspects in their reality such as adherence to medication therapy, faith, search for access to medication and information about drugs and the disorder, as well as participation in a psychoeducation group. It was presented the following strategies to guarantee patient safety in medication therapy: use of the proposed theoretical model as an object of reflection in health professionals? training; adequate psychoeducation process; implement supervised self-administration of medication; use information folders and adopt home visits.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleBipolar Affective Disorder: Proposal of a Theoretical Model to Identify Unsafe Factors in Medication Therapyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/147718-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Bipolar Affective Disorder: Proposal of a Theoretical Model to Identify Unsafe Factors in Medication Therapy</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Miasso, Adriana Inocenti, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Sao Paulo Ribeir?o Preto College of Nursing. WHO Collaborating Centre for Nursing Research Development</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Doctor of Nursing. Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">amiasso@eerp.usp.br</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Luiz Jorge Pedr?o, PhD; Fernanda R. E. Gimenes, Master, student; Silvia H. De Bortoli Cassiani, DNS, RN</td></tr><tr><td colspan="2" class="item-abstract">[Symposium clinical presentation] This study aimed to understand the meaning of medication therapy for patients with Bipolar Affective Disorder (BAD) and propose a theoretical model to identify unsafe factors related to this therapy. This study adopted a qualitative approach and used a Grounded Theory in the framework of Symbolic Interactionism. Study participants were 14 BAD patients who were followed at a Clinical Unit for Mood Disorders of a university hospital and 14 relatives they indicated. Interviews and observation were the main strategies for data collection. The recorded interviews were first transcribed and then coded in three phases: open coding, axial coding and selective coding. Comparative data analysis resulted in the central phenomenon: BEING BETWEEN THE DEVIL AND THE DEEP BLUE SEA with respect to medication therapy, allowing for the construction of a theoretical model that identifies vulnerable points which the health team can act on. This process was constituted by integrating categories in Strauss and Corbin's paradigm model. The central phenomenon allowed us to understand that there is an ambivalent situation related to medication therapy for patients with BAD. Patients place the symbol of sanity in the medication but, at the same time, it becomes the concrete and daily proof that they have a mental and chronic disorder. It was also identified that these patients adopt different strategies to modify negative aspects in their reality such as adherence to medication therapy, faith, search for access to medication and information about drugs and the disorder, as well as participation in a psychoeducation group. It was presented the following strategies to guarantee patient safety in medication therapy: use of the proposed theoretical model as an object of reflection in health professionals? training; adequate psychoeducation process; implement supervised self-administration of medication; use information folders and adopt home visits.</td></tr></table>en_GB
dc.date.available2011-10-26T09:35:32Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:35:32Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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