2018 年 19 巻 4 号 p. 172-179
Objective: The maintenance and improvement of medication adherence are important in psychiatry. In the case of patients using home healthcare services, it is necessary to improve their medication adherence through multi-professional collaboration. However, appropriate methods or measures to provide them with information regarding psychotropics and resolve their problems during home visits have yet to be clarified. We aimed to promote the appropriate provision of such information in home healthcare services for patients with mental disorders by clarifying the current status and details of information needed during home visits.
Methods: A questionnaire survey was conducted in April 2016, involving healthcare professionals who worked in 9 facilities providing home-visit services for patients with mental disorders.
Results: A total of 116 (86 females and 30 males) responded, among whom nurses accounted for the majority, at 81.9%, followed by psychiatric social workers, at 10.3%, and occupational therapists, at 7.8%. More than 97% of all respondents assessed medication adherence. Medication guidance tended to be provided within 15 minutes (81.9%) during each home visit, and the most frequent duration of such guidance was 6 to 10 minutes (37.9%). Patients most frequently asked about adverse drug effects (57.8%), and the health professionals most frequently faced difficulty answering such questions among all the questions asked (46.6%). Materials needed during home visits included: <brochures explaining the therapeutic and adverse effects of drugs>, <photographs of drugs>, and <a list of generic drugs>. Some respondents also noted the necessity of materials that are easy to carry.
Conclusion: The results clarified the details of information to be provided on administering home healthcare services for patients with mental disorders. As various professionals are engaged in such services, and they are expected to have a certain level of ability to provide information, systems to effectively support information provision by them may be needed.