首页> 外文期刊>Journal of clinical nursing >Use of self-chosen therapies by depressed people in primary care.
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Use of self-chosen therapies by depressed people in primary care.

机译:抑郁症患者在初级保健中使用自我选择的疗法。

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AIMS: This paper focuses on attitudes towards and use of self-chosen treatment among people prescribed antidepressants and discusses the implications for practitioners involved in medicines management. BACKGROUND: In the wide-ranging debate around the extension of non-medical prescribing in the UK the relationship between complementary and alternative therapies and prescribed medication has received little attention. Research indicates that self-treatment, including use of complementary and alternative therapies is burgeoning, yet there is uncertainty about the degree to which practitioners should be knowledgeable about therapies or be capable of advising clients on their use. Complementary and alternative therapy use is common among people with depression and greater knowledge of their use may be appropriate if health practitioners are to be able to support and inform people with depressive symptoms. METHODS: Qualitative methodology was adopted and 60 people from four primary care practices in the West Midlands, UK were interviewed individually and their self-reported treatment journeys documented. RESULTS: Almost two-thirds of participants had attempted to use self-chosen therapies during their recent illness though few had discussed their use with health service practitioners. Use of a range of self-chosen therapies was supported by a belief that they were natural, combined with a desire to avoid consulting health practitioners. Reasons for non-use of such therapies included confidence in health practitioners and caution about the possibility of drug interactions. CONCLUSIONS: Health practitioners require an awareness that people with mental health problems are using a range of self-chosen treatments and might consider the appropriateness of initiating discussions on self-chosen treatments with clients. This area requires greater debate and if necessary identification of an appropriate knowledge base. RELEVANCE TO CLINICAL PRACTICE: Assessment of common mental health problems should include discussion of patients' previous and current self-treatment. Such discussions will assist in identifying attitudes and beliefs towards health service treatment and provide a basis for selecting appropriate interventions.
机译:目的:本文重点关注处方抗抑郁药人群对自我选择治疗的态度和使用,并讨论其对从事药物管理的从业者的影响。背景:在英国围绕非医学处方扩展的广泛辩论中,互补疗法和替代疗法与处方药之间的关系鲜为人知。研究表明,包括补充疗法和替代疗法在内的自我治疗正在迅速发展,但是,从业者对疗法的了解程度或能够为客户提供使用建议方面的能力尚不确定。补充疗法和替代疗法在抑郁症患者中很普遍,如果卫生从业人员能够支持和告知抑郁症患者,则可能需要更多的补充知识。方法:采用定性方法,对英国西米德兰兹郡的四种初级保健实践的60人进行了单独访谈,并记录了他们自我报告的治疗过程。结果:近三分之二的参与者在最近患病期间曾尝试使用自我选择的疗法,尽管很少有人与卫生服务从业者讨论过他们的用法。人们相信使用自然疗法是一种自然选择,并希望避免咨询健康医生。不使用此类疗法的原因包括对医疗从业者的信心以及对药物相​​互作用可能性的谨慎态度。结论:卫生从业人员需要意识到患有精神健康问题的人正在使用一系列自选疗法,并可能考虑与客户进行关于自选疗法的讨论的适当性。这个领域需要更多的辩论,必要时还需要确定适当的知识库。与临床实践的关系:对常见心理健康问题的评估应包括对患者先前和当前自我治疗的讨论。此类讨论将有助于确定对卫生服务治疗的态度和信念,并为选择适当的干预措施提供基础。

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