Poster Presentation
Sunday, November 4, 2007
10:30 AM - 11:45 AM
Sunday, November 4, 2007
1:30 PM - 2:45 PM
Bipolar Affective Disorder: Proposal of a Theoretical Model to Identify Unsafe Factors in Medication Therapy
Adriana Inocenti Miasso, PhD, Departamento de Enfermagem Psquiátrica e Ciências Humanas, University of Sao Paulo Ribeirão Preto College of Nursing. WHO Collaborating Centre for Nursing Research Development, Ribeirao Preto, Brazil, Luiz Jorge Pedrão, PhD, Departamento de Enfermagem Psiquiátrica e Ciências Humanas, University of São Paulo, Ribeirão Preto College of Nursing. WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, Brazil, Fernanda R. E. Gimenes, Master, student, Departamento de Enfermagem Geral e Especializada, University of Sao Paulo at Ribeirao Preto College of Nursing, Ribeirão Preto, Brazil, and Silvia H. De Bortoli Cassiani, DNS, RN, Departamento de Enfermagem Geral e Especializada, Escola de Enfermagem de Ribeirao Preto, Ribeirao Preto, Sao Paulo, Brazil.
| Learning Objective #1: understand the meaning of medication therapy for patients with Bipolar Affective Disorder through theoretical model. |
| Learning Objective #2: identify strategies to guarantee medication safety for patients with Bipolar Affective Disorder. |
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.