title: The effectiveness of a nursing discharge programme to improve medication adherence and patient satisfaction in the psychiatric intensive care unit.
abstract: OBJECTIVE
  To observe the extent to which a nursing discharge plan is effective in promoting therapeutic adherence and improving patient satisfaction with their treatment based on information interventions provided by nursing staff, direct hospital medication distribution and follow-up telephone calls.
  
  
  BACKGROUND
  Patient adherence is a fundamental requirement for the treatment of chronic diseases. Among psychiatric patients, adherence to the prescribed course of treatment allows patients to keep the symptoms of their disease under control, allowing for improvements in the management of their condition, minimising the risks of relapse and reducing the number of hospitalisations.
  
  
  METHODS
  This study uses a prospective correlational design.
  
  
  METHODS
  The Morisky Medication Adherence Scale, the Satisfaction with Information about Medicine Scale and the General Satisfaction Questionnaire were used.
  
  
  RESULTS
  Of the 135 patients enrolled in the study, 57% of the sample was female, and, on average, patients were aged 33 years. About 72.9% were unmarried, and 88.1% were educated at less than high school level. This study showed that patients who received more information on their health status and on what would be done for them after their hospitalisation had a higher adherence to treatment. In addition, patients who were more satisfied with the nursing care provided had a higher rate of adherence to their treatment plan.
  
  
  CONCLUSIONS
  The interpersonal and educational nursing intervention improves adherence to a treatment plan by allowing patients to express themselves not only as individuals who rely on health care but also as protagonists able to effectively manage their disease and to empower themselves by acquiring disease management skills.
  
  
  CONCLUSIONS
  A patient-nurse communication programme could help to analyse the individual patient circumstances that might become barriers to adherence and to apply nursing interventions that promote better patient adherence.
authors.affiliation: University of Rome Tor Vergata, Department of Biomedicine and Prevention, Rome, Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Virgolesi
authors.affiliation: University of Rome Tor Vergata, Department of Biomedicine and Prevention, Rome, Italy.
authors.forename: Gianluca
authors.identifier: http://orcid.org/0000-0001-6915-6802
authors.initials: G
authors.lastname: Pucciarelli
authors.affiliation: Department of Mental Health Care, San Camillo Hospital, Rome, Italy.
authors.forename: Anna Maria
authors.initials: AM
authors.lastname: Colantoni
authors.affiliation: Fatebenefratelli Hospital, Rome, Italy.
authors.forename: Fabio
authors.initials: F
authors.lastname: D'Andrea
authors.affiliation: Fatebenefratelli Hospital, Rome, Italy.
authors.forename: Barbara
authors.initials: B
authors.lastname: Di Donato
authors.affiliation: Psychiatric Intensive Care Unit, Albano Laziale Hospital, Rome, Italy.
authors.forename: Fabio
authors.initials: F
authors.lastname: Giorgi
authors.affiliation: San Paolo Hospital, Civitavecchia, Rome, Italy.
authors.forename: Lidia
authors.initials: L
authors.lastname: Landi
authors.affiliation: Psychiatric Intensive Care Unit, Santo Spirito Hospital, Rome, Italy.
authors.forename: Eleonora
authors.initials: E
authors.lastname: Salustri
authors.affiliation: Centre of Excellence for Nursing Scholarship, Rome, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Turci
authors.affiliation: Centre of Excellence for Nursing Scholarship, Rome, Italy.
authors.forename: Maria Grazia
authors.initials: MG
authors.lastname: Proietti
mesh_terms: D000328:Adult; D002908:Chronic Disease / Q000628:therapy; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D055118:Medication Adherence / Q000523:psychology*; D008875:Middle Aged; D009723:Nurse-Patient Relations; D010351:Patient Discharge / Q000592:standards*; D017060:Patient Satisfaction; D011446:Prospective Studies; D011567:Psychiatric Department, Hospital; D011795:Surveys and Questionnaires
keywords: communication; compliance; medication; nurse; patient