药物的调解作用 慢性病老年人的自我管理能力 过渡期护理质量与药物之间的差异:一项跨部门研究
Ya-Di Zhang1, Yu-Meng Qian2, La-Mei Liu1
1School of Nursing and Health, Zhengzhou University, Zhengzhou City, Henan Province, China.
Nursing & health sciences
|September 19, 2025
概括
高质量的过渡护理和药物自我管理技能可以减少慢性脏病 (CKD) 的老年人服用药物的差异. 药物自我管理能力在医院-家庭过渡期间部分调解了这种效果.
科学领域:
- 老年学是一门学科.
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对于患有慢性病 (CKD) 的老年人来说,从医院到家庭的过渡是复杂的.
- 药物不一致是常见的,在这些过渡期间会带来重大风险.
- 了解影响药物管理的因素对于患者安全至关重要.
研究的目的:
- 研究药物自我管理能力的调解作用.
- 检查过渡期护理质量与药物差异之间的关系.
- 在医院-家庭过渡期间分析患有慢性病的老年人中的这些因素.
主要方法:
- 一项涉及262名患有CKD的老年人的横截面研究.
- 使用问卷提供一般信息,药物差异和药物的自我管理.
- 雇佣的合作伙伴在护理过渡测量和分析数据使用SPSS和PROCESS插件.
主要成果:
- 在出院8周后观察到药物差异的高发病率 (79.4%).
- 过渡期护理质量与药物自我管理能力正相关 (r=0.527,p<0.001).
- 药物自我管理能力 (β=-0.205) 和过渡期护理质量 (β=-0.249) 都与药物差异负面相关.
结论:
- 改善过渡期护理质量和提高药物自我管理能力是减少药物差异的关键.
- 药物自我管理能力部分介导过渡期护理质量对药物差异的影响.
- 干预措施应侧重于加强这两个方面,以改善患者在过渡期间的结果.
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