Original Research
htp://www.hsag.co.za doi:10.4102/hsag.v19i1.799
Intervenions to promote psychiatric paients’
compliance to mental health treatment: A systemaic
review
Authors:
Mosidi B. Serobatse
1
Emmerenia Du Plessis
2
Magdalena P. Koen
2
Ailiaions:
1
Witrand Hospital,
Potchefstroom, South Africa
2
School of Nursing Science,
North-West University,
Potchefstroom Campus,
South Africa
Correspondence to:
Emmerenia Du Plessis
Email:
emmerenia.duplessis@nwu.
ac.za
Postal address:
Private Bag X6001,
Potchefstroom 2520,
South Africa
Dates:
Received: 21 Nov. 2013
Accepted: 14 July 2014
Published: 21 Nov. 2014
How to cite this aricle:
Serobatse, M.B., Du
Plessis, E. & Koen, M.P.,
2014, ‘Intervenions
to promote psychiatric
paients’ compliance to
mental health treatment: A
systemaic review’, Health SA
Gesondheid 19(1), Art. #799,
10 pages. htp://dx.doi.
org/10.4102/hsag.v19i1.799
Copyright:
© 2014. The Authors.
Licensee: AOSIS
OpenJournals. This work
is licensed under the
Creaive Commons
Atribuion License.
Background: Non-compliance to treatment remains one of the greatest challenges in mental
healthcare services, and how to improve this remains a problem.
Aim: The aim of this study was to critically synthesise the best available evidence from
literature regarding interventions to promote psychiatric patients’ compliance to mental
health treatment. The interventions can be made available for mental health professionals to
use in clinical practice.
Method: A systematic review was chosen as a design to identify primary studies that answered
the following research question: What is the current evidence on interventions to promote
psychiatric patients’ compliance to mental health treatment? Selected electronic databases
were thoroughly searched. Studies were critically appraised and identiied as answering
the research questions. Evidence extraction, analysis and synthesis were then conducted by
means of evidence class rating and grading of strength prescribed in the American Dietetic
Association’s manual.
Results: The systematic review identiied several interventions that can improve patients’
compliance in mental health treatment, for example adherence therapy and motivational
interviewing techniques during in-hospital stay.
Conclusions: Conclusions were drawn and recommendations formulated for nursing
practice, education and research.
Agtergrond: Geen-samewerking met behandeling bly steeds een van die grootste uitdagings
in geestesgesondheidsorgdienste, en genoegsame kennis oor hoe om dit te verbeter, is steeds
’n probleem.
Doelwit: Die doel van hierdie studie was om die beskikbare bewyse vanuit literatuur
aangaande intervensies ter bevordering van psigiatriese pasiënte se samewerking met
geestesgesondheidsbehandeling krities te sintetiseer. Hierdie intervensies kan aan
professionele gesondheidsorgpersoneel beskikbaar gestel word ter bevordering van
psigiatriese pasiënte se samewerking met geestesgesondheidsbehandeling.
Metode: ’n Sistematiese literatuuroorsig is gekies as die ontwerp om primêre studies
te identiiseer wat die volgende navorsingsvraag beantwoord: Wat is die huidige
kennis ten opsigte van intervensies wat psigiatriese pasiënte se samewerking met
geestesgesondheidsbehandeling bevorder?
Resultate: Studies is ingesluit vir kritiese gehalte-beoordeling ten opsigte van metodologie,
en is uiteindelik geïdentiiseer as bronne van bewyse wat die literatuuroorsigvraag
toepaslik beantwoord. Bewysonttrekking, -analise en -sintese is gedoen deur middel van
die beoordeling van bewysklas en -gradering van bewyssterkte, soos voorgeskryf in die
American Dietetic Association se handleiding. Die sistemiese literatuuroorsig het aangedui dat
daar heelparty intervensies is wat psigiatriese pasiënte se samewerking met behandeling kan
verbeter, byvoorbeeld samewerkingsterapie en motiveringsonderhoudstegnieke.
Gevolgtrekking: Gevolgtrekkings is gemaak en aanbevelings is geformuleer vir die
verpleegpraktyk, verpleegonderrig en navorsing in verpleging.
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Introducion
There is a widespread problem with psychiatric patients not remaining compliant to their mental
health treatment (Patel & David 2007:357). Complete compliance is dificult to achieve with most
psychiatric patients, and non-compliance is compounded by the need to take medication over
extended periods of time. This article systematically explains the background and rationale to