Particularităţile complianţei în tulburările depresive refractare

Abstract

The aim of this work is to study the compliance features in refractory depression, identifying the directions and methods of application of therapeutic interventions in this context. One way to increase adherence to a group of 64 patients with resistant depressive episodes, was to improve chemotherapy. This was done by changing the therapeutic regimen, but also due to the reduction of adverse effects. Adherence was encouraged through an individualized treatment with the choice of a better tolerated drug. It was reported that improving patients' symptoms will appear over time. The indicated treatment was not a limitation of personal freedom. The family has favored compliance with a supportive involvement, avoiding conflicts.

Scopul lucrării constă în studierea particularităţilor complianţei în depresia refractară, identificarea direcţiilor şi metodelor de aplicare a intervenţiilor terapeutice în acest context. O modalitate de creştere a complianţei pe un lot de 64 paciente, cu episoade depresive rezistente, a fost ameliorarea chimioterapiei. Acest lucru s-a făcut prin modificarea schemei terapeutice, dar şi datorită diminuării efectelor adverse. Complianţa a fost favorizată printr-un tratament individualizat, cu alegerea unui medicament mai bine tolerat. S-a relatat pacienţilor că ameliorarea simptomelor va apare peste un timp. Tratamentul indicat nu a fost o limitare a libertăţii personale. Cadrul familial a favorizat complianţa printr-o implicare suportivă, cu eviatarea conflictelor.