药物素养和药物自我管理:在多药性住院患者 (65岁以上) 中进行的跨部门研究
Laura Mortelmans1,2, Jenny Gentizon3, Tinne Dilles1
1Department of Nursing Science and Midwifery, Centre for Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.
Journal of nursing management
|April 14, 2025
概括
药物素养与患者自我管理药物的能力密切相关. SelfMED工具有效地选这种能力,指导针对老年人进行定制干预.
科学领域:
- 老年医学 老年医学
- 卫生识字 卫生识字
- 患者自我管理
背景情况:
- 老年人 (65岁以上) 的多药性治疗对药物自我管理提出了挑战.
- 评估患者的药物素养和自我管理能力对于有效的医疗保健至关重要.
- 了解药物素养和自我管理之间的关系是改善患者结果的关键.
研究的目的:
- 检查医院住院的多药老年人中药物素养和感知到的药物自我管理能力之间的关系.
- 确定影响这种关系的因素和患者的自我管理能力.
- 评估MED-fLAG和SelfMED评估的有用性.
主要方法:
- 对169名多药性住院患者 (65岁以上) 进行了横截面调查.
- 使用老年患者和非正式护理人员 (MED-fLAG) 的医学素养评估来评估药物素养.
- 用SelfMED评估评估患者药物自我管理的能力,并采用皮尔森的r和线性回归分析.
主要成果:
- 在药物识别和药物自我管理能力之间发现了强烈的正相关性 (r=0.630,p<0.001).
- 患者评价他们的住院自我管理比医疗保健提供者 (6/10) 高 (8/10).
- 年龄,独立的家庭药物管理,慢性病的数量和药物素养预测了自我管理能力.
结论:
- SelfMED评估是一种可靠的独立工具,用于选老年人医院内药物自我管理能力.
- MED-fLAG提供了有价值的见解,以定制药物信息和干预措施,以帮助那些自我管理能力较低的患者.
- 结果支持有针对性的干预措施,以加强老年人群的药物自我管理和识字能力.
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