印度尼西亚老年慢性病患者的药物相关负担和药物经验:一种混合方法研究
Yeni Farida1,2, Anna Wahyuni Widayanti3, Tri Murti Andayani3
1Doctoral Program in Pharmacy, Faculty of Pharmacy, Universitas Gadjah Mada, Yogyakarta, Indonesia.
概括
患有慢性疾病的老年人经历了适度的药物负担,受到心血管疾病和糖尿病等疾病的影响. 患者的动力和家庭的支持是应对这些挑战的关键.
科学领域:
- 老年学是一门学科.
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 慢性疾病在老年人中很普遍,需要复杂的药物治疗方案.
- 与药物相关的负担显著影响老年患者的生活质量.
- 了解促成因素对于制定有效的管理策略至关重要.
研究的目的:
- 探索慢性疾病的老年人中与药物相关的负担.
- 确定导致这些负担的因素.
- 了解患者的经历和应对机制.
主要方法:
- 一个探索性的混合方法研究,使用印尼生活与医学问卷 (LMQ) 和半结构面试.
- 量化分析与患者特征相关的LMQ得分.
- 定性数据分析,以确定药物经验中的主题.
主要成果:
- 在129名老年人中观察到中度的整体药物负担 (LMQ平均得分为90.4).
- 负担的显著变化与药物数量,治疗持续时间和特定的慢性疾病 (心血管疾病,DM,中风) 有关.
- 定性发现揭示了经验,挑战和动机的主题,患者使用药物外观来识别和家庭支持,减轻不满.
结论:
- 患有慢性疾病的老年人面临着相当大的药物负担,特别是心血管疾病,糖尿病,中风,更长的治疗持续时间 (>5年) 和多药 (>10种药物) 的老年人.
- 医疗保健专业人员和患者之间的有效沟通对于解决需求和担忧至关重要.
- 患者的动力和家庭的支持在克服与药物相关的疲劳和不满情绪方面发挥着至关重要的作用.
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