Abstract

MAZZAIA, Maria Cristina  and  SOUZA, Mariana Akemi de. Adherence to treatment in bipolar affective disorder: user and health professional perceptions. Revista Portuguesa de Enfermagem de Saúde Mental [online]. 2017, n.17, pp.34-42. ISSN 1647-2160.  https://doi.org/10.19131/rpesm.0181.

BACKGROUND: Adherence to treatment is essential for implementing psychosocial rehabilitation actions to reduce chronicity. Bipolar disorder is characterized as a disorder where patients in often do not realize sickened and therefore do not adhere to treatments easily. The organization of care through case management can contribute to adherence to treatment. AIM: To investigate the adherence to treatments for bipolar affective disorder and influence case management for this adherence. METHODS: Qualitative and descriptive research in outpatient mental health conducted through thematic content analysis technique of the speeches of users and professionals who spoke about adherence to treatment and influential factors. RESULTS: Side effects, the availability of services and commitments of users were cited as factors that hinder adherence to treatment, the latter being also understood as a motivating factor in the content analysis. Trust in professionals, the relationship established with these, the presence and help of family, were cited as factors that facilitate adherence to treatment. The service strategy through case management was not cited by the sample as influential to the process of adherence to treatment. CONCLUSIONS: This study highlights the attention of the nurse and the health team regarding the need for flexibility in planning treatment measures, especially to respect labor activities, which is based on the established relationship of trust and listening to favor the individualization of care.

Keywords : Patient compliance; Therapeutics; Bipolar disorder; Case management.

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