Sains Malaysiana 50(1)(2021): 161-170

http://dx.doi.org/10.17576/jsm-2021-5001-16

Patient-Centred Communication in the Use of Antidepressants among People with Depression: A Scoping Review

(Komunikasi Berpusatkan Pesakit dalam Penggunaan Antidepresan dalam Kalangan Orang Kemurungan: Suatu Ulasan Penskopan)

SYAHRIR ZAINI^1,2*, AHMAD HATIM SULAIMAN², HASNIZA ZAMAN HURI³, KOH ONG HUI², JESJEET SINGH GILL², BENEDICT FRANCIS², TAN CHOK HOW², FATIN LIYANA AZHAR², ONG JEN YEUNG², LIM KUOK QUAN², NATHRATUL AYESHAH ZULKIFLI², NAVIN NAIR² & NG CHONG GUAN²

¹Pharmacy Practice Department, Kulliyyah of Pharmacy, International Islamic University Malaysia, 25200 Kuantan, Pahang Darul Makmur, Malaysia

²Department of Psychological Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur 50603, Federal Territory, Malaysia

³Department of Clinical Pharmacy & Pharmacy Practice, Faculty of Pharmacy, Universiti Malaya, Kuala Lumpur 50603, Federal Territory, Malaysia

Diserahkan: 6 Ogos 2019/Diterima: 15 Jun 2020

ABSTRACT

Antidepressants are the mainstay of depression treatment. However, little information is known about patient-centred communication related to the use of antidepressant among people with depression. This review aims to provide a comprehensive mapping of previously published studies on patient-centred communication in the use of antidepressants among patients with depression. A scoping review of the literature was conducted using PubMed, CINAHL, and Cochrane to answer the following questions: What is the nature of published scientific literature on this topic? and To what extent do the published articles address the six core components of patient-centred communication, which are: encouraging effective clinician-patient relationships, obtaining and providing information, responding to emotional states, handling uncertainty, achieving the best decision as well as advocating patient self-management? Out of 494 records identified, a total of 13 articles were included in the scoping review (2 randomised controlled trials, 1 observational cohort study, 5 cross-sectional studies, 4 qualitative studies, and 1 review article). All 6 core components of the patient-centred communication were discussed extensively in the literature except for 2 of them, which were handling uncertainty and patient self-management. Shared decision making (SDM) was found to be a critical feature in patient-centred communication. The six core components of patient-centred communication have been consistently recognized as vital for the process of achieving patient-centred care. SDM can be included as a tool to assist clinicians and patients in addressing effective clinician-patient relationships.

Keywords: Antidepressants; communication; depression; patient-centred

ABSTRAK

Antidepresan adalah tulang belakang rawatan kemurungan. Walau bagaimanapun, hanya sedikit maklumat diketahui mengenai komunikasi berpusatkan pesakit yang berkaitan dengan penggunaan antidepresan dalam kalangan orang kemurungan. Ulasan ini bertujuan untuk memberikan pemetaan menyeluruh kajian terdahulu yang diterbitkan mengenai komunikasi berpusatkan pesakit dalam penggunaan antidepresan dalam kalangan pesakit yang mengalami kemurungan. Kajian tinjauan kepustakaan terdahulu dilakukan dengan menggunakan PubMed, CINAHL dan Cochrane untuk menjawab soalan berikut: Apakah sifat kepustakaan saintifik yang diterbitkan mengenai topik ini? Sejauh mana makalah yang diterbitkan menyentuh enam komponen teras komunikasi berpusatkan pesakit, iaitu: menggalakkan hubungan doktor-pesakit yang berkesan, mendapat dan menyediakan maklumat, bertindak balas terhadap keadaan emosi, mengendalikan ketidakpastian, mencapai keputusan terbaik dan juga menyokong pengurusan diri pesakit? Daripada 494 rekod yang dikenal pasti, sejumlah 13 makalah telah dimasukkan ke dalam ulasan skop (2 ujian terkawal rawak, 1 kajian kohort pemerhatian, 5 kajian keratan rentas, 4 kajian kualitatif dan 1 rencana kajian). Kesemua 6 komponen utama komunikasi berpusatkan pesakit dibincangkan secara meluas dalam kepustakaan terdahulu kecuali 2 daripadanya iaitu pengendalian ketidakpastian dan pengurusan diri pesakit. Pengambilan keputusan bersama (SDM) didapati sebagai ciri kritikal untuk komunikasi berpusatkan pesakit. Enam komponen teras komunikasi berpusatkan pesakit telah diakui secara konsisten sebagai penting untuk proses mencapai penjagaan yang berpusatkan pesakit. SDM boleh dimasukkan sebagai alat untuk membantu doktor dan pesakit dalam menangani hubungan doktor-pesakit yang berkesan.

Kata kunci: Antidepresan; berpusat pesakit; kemurungan; komunikasi

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*Pengarang untuk surat-menyurat; email: syahrirz@siswa.um.edu.my